Provider Demographics
NPI:1942737960
Name:EDINGER, CHLOE DANIELLE (MD)
Entity Type:Individual
Prefix:
First Name:CHLOE
Middle Name:DANIELLE
Last Name:EDINGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91-5431 KAPOLEI PKWY STE 1706
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-5009
Mailing Address - Country:US
Mailing Address - Phone:808-426-9300
Mailing Address - Fax:
Practice Address - Street 1:91-5431 KAPOLEI PKWY STE 1706
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-5009
Practice Address - Country:US
Practice Address - Phone:808-426-9300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-22
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI21273208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics