Provider Demographics
NPI:1699715847
Name:CHING, BRIAN H (DO)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:H
Last Name:CHING
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1 JARRETT WHITE ROAD, 3G
Mailing Address - Street 2:DEPARTMENT OF RADIOLOGY
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96859
Mailing Address - Country:US
Mailing Address - Phone:808-433-4198
Mailing Address - Fax:808-433-4688
Practice Address - Street 1:1 JARRETT WHITE RD BLDG 3G
Practice Address - Street 2:
Practice Address - City:TRIPLER ARMY MEDICAL CENTER
Practice Address - State:HI
Practice Address - Zip Code:96859-5001
Practice Address - Country:US
Practice Address - Phone:808-433-4198
Practice Address - Fax:808-433-4688
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A77632085R0202X
HIDOS11142085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0020A77630Medicaid