DR. BERT K W WONG MD NPI 1972662385

NPI Information

NPI: 1972662385
Provider Name: DR. BERT K W WONG, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
2228 LILIHA ST.
SUITE 305
HONOLULU, HI
ZIP 96817
Phone: (808) 526-0686
Get Directions

DR. Bert K W Wong, MD is a cardiovascular disease internal medicine in Honolulu, HI. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Bert K W Wong, MD NPI is 1972662385. 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:

2228 LILIHA ST.
SUITE 305
HONOLULU, HI
ZIP 96817-646
Phone: (808) 526-0686
Fax: (808) 526-0688

The NPI 1972662385 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 12/8/2006 and was last updated on 5/5/2010.

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	207RC0000X	Internal Medicine	Cardiovascular Disease	3694	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	C17149	OTHER		HMSA
2	01598201	MEDICAID	HAWAII
3	101008	MEDICARE ID-TYPE UNSPECIFIED	HAWAII
4	O36461	MEDICARE UPIN

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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