Provider Demographics
NPI:1346335650
Name:LEONG, OREN TUCK HUNG (MD)
Entity type:Individual
Prefix:
First Name:OREN
Middle Name:TUCK HUNG
Last Name:LEONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45-007 KA HANAHOU PLACE
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-3014
Mailing Address - Country:US
Mailing Address - Phone:808-234-7480
Mailing Address - Fax:808-234-7480
Practice Address - Street 1:91-2141 FT. WEAVER ROAD
Practice Address - Street 2:
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706
Practice Address - Country:US
Practice Address - Phone:808-678-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2014-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD 3470207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR239830Medicaid
OROOWCQJLCMedicare ID - Type Unspecified
OR239830Medicaid