Provider Demographics
NPI:1942998109
Name:CHOI, SUNG HWAN (MD)
Entity Type:Individual
Prefix:MR
First Name:SUNG HWAN
Middle Name:
Last Name:CHOI
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 1:1319 PUNAHOU STREET #741
Mailing Address - Street 2:DAWN DURAL, UNIVERSITY OF HAWAII PEDIATRIC RESIDENCY PR
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826
Mailing Address - Country:US
Mailing Address - Phone:808-369-1234
Mailing Address - Fax:808-369-1212
Practice Address - Street 1:1319 PUNAHOU STREET #741
Practice Address - Street 2:UNIVERSITY OF HAWAII PEDIATRIC RESIDENCY PROGRAM
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826
Practice Address - Country:US
Practice Address - Phone:808-369-1234
Practice Address - Fax:808-369-1212
Is Sole Proprietor?:No
Enumeration Date:2023-04-26
Last Update Date:2024-01-02
Deactivation Date:2023-11-29
Deactivation Code:
Reactivation Date:2024-01-02
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program