Provider Demographics
NPI:1316123441
Name:HONG, TRAVIS KWOCK FAI (MD)
Entity type:Individual
Prefix:DR
First Name:TRAVIS
Middle Name:KWOCK FAI
Last Name:HONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1319 PUNAHOU ST
Mailing Address - Street 2:SUITE 512
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-1001
Mailing Address - Country:US
Mailing Address - Phone:808-983-8988
Mailing Address - Fax:808-983-6343
Practice Address - Street 1:1319 PUNAHOU ST
Practice Address - Street 2:SUITE 512
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-1001
Practice Address - Country:US
Practice Address - Phone:808-983-8988
Practice Address - Fax:808-983-6343
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-18
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HI161002080P0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine