Provider Demographics
NPI:1841497260
Name:CHEN, WEICHIN (MD)
Entity type:Individual
Prefix:DR
First Name:WEICHIN
Middle Name:
Last Name:CHEN
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 1:94-673 KUPUOHI ST STE C205
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-5373
Mailing Address - Country:US
Mailing Address - Phone:808-677-6868
Mailing Address - Fax:855-853-3706
Practice Address - Street 1:94-673 KUPUOHI ST STE C205
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-5373
Practice Address - Country:US
Practice Address - Phone:808-677-6868
Practice Address - Fax:855-853-3706
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2020-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD15200207X00000X
HI15200207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI803058Medicaid