Mankwan Wong, M.D., LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD11859 Issued in HI

Legal business name

MANKWAN WONG, M.D., LLC

Practice address

1750 Kalakaua Ave Ste 108
Honolulu, HI 96826-3700

Phone

(808) 942-8727

Fax

(808) 946-9849

NPI assigned

Oct 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mankwan Thomas Wong, M.D.

Title

President

Phone

(808) 942-8727

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1295811636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 KALAKAUA AVE STE 108",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968263700",
            "telephone_number": "808-942-8727",
            "fax_number": "808-946-9849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 KALAKAUA AVE STE 108",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968263700",
            "telephone_number": "808-942-8727",
            "fax_number": "808-946-9849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANKWAN WONG, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-28",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "MANKWAN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-942-8727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD11859",
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "HI",
            "license": "11859",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50787402",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prima May Mangonon, MA
• Maria Cecilia Bravo Mangrobang, M.D.
• Manibusan Services Corporation
• Jacetys Manibusan-Kuahiwinui
• Gilbert Manipon, L.M.T.
• Andrew Kawika Manley
• Christina L Manliguis
• Joseph John Balbas Manlolo, M.D.
• Sylvia Mann, M.S.
• Colette Manning, RN

• 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 Mar 12, 2018; 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.