Provider Demographics
NPI:1386701449
Name:DANG, WILLIAM MICHAEL JR (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:MICHAEL
Last Name:DANG
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1329 LUSITANA ST
Mailing Address - Street 2:SUITE 409
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2429
Mailing Address - Country:US
Mailing Address - Phone:808-521-8211
Mailing Address - Fax:808-523-5973
Practice Address - Street 1:1329 LUSITANA ST
Practice Address - Street 2:SUITE 409
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2429
Practice Address - Country:US
Practice Address - Phone:808-521-8211
Practice Address - Fax:808-523-5973
Is Sole Proprietor?:No
Enumeration Date:2007-01-01
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD5153207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI00018644-01Medicaid
HI12D0874687OtherCLIA
HI0000020016OtherHMSA
HI00018644-01Medicaid
HI0000020016OtherHMSA
HIH000BDLNJMedicare ID - Type UnspecifiedMEDICARE