Provider Demographics
NPI:1841237443
Name:CHU, DOUGLAS FREEMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:FREEMAN
Last Name:CHU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1401 S BERETANIA ST
Mailing Address - Street 2:SUITE 900
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1870
Mailing Address - Country:US
Mailing Address - Phone:808-942-5800
Mailing Address - Fax:808-949-4553
Practice Address - Street 1:1401 S BERETANIA ST
Practice Address - Street 2:SUITE 900
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1870
Practice Address - Country:US
Practice Address - Phone:808-942-5800
Practice Address - Fax:808-949-4553
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-01
Last Update Date:2017-02-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HIMD9013207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI074315Medicaid
CAF40496Medicare UPIN
HI074315Medicaid
HI5616910002Medicare NSC