DR. FONG-LIANG FAN MD NPI 1790859718

NPI Information

NPI: 1790859718
Provider Name: DR. FONG-LIANG FAN, MD
Classification: Transplant Surgery - 204F00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2226 LILIHA STREET
SUITE 402
HONOLULU, HI
ZIP 96817
Phone: (808) 523-0166
Get Directions

DR. Fong-liang Fan, MD is a transplant surgery in Honolulu, HI. The provider is a surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee DR. Fong-liang Fan, MD NPI is 1790859718. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2226 LILIHA STREET
SUITE 402
HONOLULU, HI
ZIP 96817-605
Phone: (808) 523-0166
Fax: (808) 528-4940

The NPI 1790859718 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 11/29/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		3280	HAWAII	No
2	204F00000X	Transplant Surgery		3280	HAWAII	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0000BDSFG	OTHER		MEDICARE
2	193072	OTHER		HMA NEW
3	04715601	OTHER		ALOHACARE
4	D36114	OTHER		KAISER PERM
5	00N0053586	OTHER		HMSA
6	04715601	OTHER		MEDICAID
7	04715601	MEDICAID	HAWAII
8	D3280	OTHER		MDX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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