Provider Demographics
NPI:1891907341
Name:GICANA VOCALAN, CHUCHI (MD)
Entity Type:Individual
Prefix:DR
First Name:CHUCHI
Middle Name:
Last Name:GICANA VOCALAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CHUCHI
Other - Middle Name:G
Other - Last Name:GICANA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:95-305 LAIPU PL
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-5942
Mailing Address - Country:US
Mailing Address - Phone:808-744-0553
Mailing Address - Fax:315-702-9181
Practice Address - Street 1:952 N KING ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-4556
Practice Address - Country:US
Practice Address - Phone:808-841-7981
Practice Address - Fax:808-841-2591
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-05
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC245932084P0804X
HIMD-140432084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCD33122Medicare UPIN