Provider Demographics
NPI:1780770529
Name:CHANG-STROMAN, LOI M (MD)
Entity type:Individual
Prefix:MR
First Name:LOI
Middle Name:M
Last Name:CHANG-STROMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2508
Mailing Address - Street 2:
Mailing Address - City:KAILUA-KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96745-2508
Mailing Address - Country:US
Mailing Address - Phone:808-329-6355
Mailing Address - Fax:808-326-1549
Practice Address - Street 1:77-311 SUNSET DR
Practice Address - Street 2:
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-9754
Practice Address - Country:US
Practice Address - Phone:808-329-6355
Practice Address - Fax:808-326-1549
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2014-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI8269207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
B90031OtherHMSA
E34126Medicare UPIN
101321Medicare ID - Type Unspecified