Edith L. Pang M.D. Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

207R00000X Issued in HI

Legal business name

EDITH L. PANG M.D. INC.

Practice address

1481 S King St Ste 528
Honolulu, HI 96814-2603

Phone

(808) 951-0433

Fax

(808) 942-2181

NPI assigned

Sep 17, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Edith L. Pang, M.D.NPI 1154484376

Title

Dr.

Phone

(808) 951-0433

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edith L. Pang, M.D.

  • Internal Medicine Physician
  • Honolulu, HI
  • NPI 1154484376
  NPD (past) Authorized official
• Tarah C Long, L..AC.

  • Acupuncturist
  • Honolulu, HI
  • NPI 1548593742
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114024890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1481 S KING ST STE 528",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142603",
            "telephone_number": "808-951-0433",
            "fax_number": "808-942-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 S KING ST STE 528",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142603",
            "telephone_number": "808-951-0433",
            "fax_number": "808-942-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDITH L. PANG M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PANG",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "808-951-0433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "207R00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52029801",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daryll Joy Edades
• Ralph Vincent Vincent Manuel Edades
• Eddie a. Lim M.D. Inc
• Roger Christian Ede, O.D.
• Edgar T. Dela Cruz M.D., Inc.
• Edith Pang MD LLC
• Edith Vajda (Edie Vajda)
• Brenda H Edmonds, PSY.D.
• Edmund a. Cassella DMD, LLC
• Edmund L.W. Char DMD Inc.

• Internal Medicine Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Internal Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.