Provider Demographics
NPI:1942060983
Name:CRAIG B CHUN, M.D. LLC
Entity Type:Organization
Organization Name:CRAIG B CHUN, M.D. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:BRENNAN
Authorized Official - Last Name:CHUN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-780-4536
Mailing Address - Street 1:PO BOX 161024
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-0923
Mailing Address - Country:US
Mailing Address - Phone:808-780-4536
Mailing Address - Fax:
Practice Address - Street 1:3849 OLD PALI RD
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-1070
Practice Address - Country:US
Practice Address - Phone:808-780-4536
Practice Address - Fax:808-595-4505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty