Provider Demographics
NPI:1942242854
Name:CHINGON, HARRY TG (MD)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:TG
Last Name:CHINGON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8990
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96830-0990
Mailing Address - Country:US
Mailing Address - Phone:808-484-9200
Mailing Address - Fax:808-484-9299
Practice Address - Street 1:98-211 PALI MOMI ST
Practice Address - Street 2:STE 414
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4301
Practice Address - Country:US
Practice Address - Phone:808-484-9200
Practice Address - Fax:808-484-9299
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD79772084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Not Answered2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI07608601Medicaid
HIG48603Medicare UPIN
HI07608601Medicaid