Derek Kwock Heen Pang, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

3734 Issued in HI

Practice address

1425 Liliha St
Suite 11
Honolulu, HI 96817-3522

Phone

(808) 523-1343

Fax

(808) 523-1345

NPI assigned

Sep 26, 2006

Last updated

Aug 30, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377820800000",
    "number": "1821199233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 LILIHA ST",
            "address_2": "SUITE 11",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173522",
            "telephone_number": "808-523-1343",
            "fax_number": "808-523-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 LILIHA ST",
            "address_2": "SUITE 11",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173522",
            "telephone_number": "808-523-1343",
            "fax_number": "808-523-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANG",
        "first_name": "DEREK",
        "middle_name": "KWOCK HEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2013-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "HI",
            "license": "3734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMA/HMN",
            "identifier": "192089",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04371823",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "48892",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Pan, O.D
• Katherine Lee Pan, DO
• Patrick E Pan, M.D.
• Panetta Psychotherapy
• Chelsea Ray O'Brien Pang, APRN-RX
• Edith L. Pang, M.D.
• Erika Pang, M.D
• Glenn Mun Lok Pang, MD
• Jasmine Pang, OTD
• Jason Keone Pang

• Cardiovascular Disease Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Cardiovascular Disease Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; 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.