Provider Demographics
NPI:1982748356
Name:MURRAY, PATRICK CHANDLER (MD)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:CHANDLER
Last Name:MURRAY
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 ST
Mailing Address - Street 2:SUITE 910
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-1001
Mailing Address - Country:US
Mailing Address - Phone:808-973-3917
Mailing Address - Fax:808-973-3248
Practice Address - Street 1:1319 PUNAHOU ST
Practice Address - Street 2:SUITE 910
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-1001
Practice Address - Country:US
Practice Address - Phone:808-973-3917
Practice Address - Fax:808-973-3248
Is Sole Proprietor?:No
Enumeration Date:2007-02-17
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD6728207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI054801-01Medicaid
HIMD6728OtherSTATE LICENSE NUMBER
HI054801-01Medicaid
HI0000BDVJGMedicare ID - Type Unspecified