Provider Demographics
NPI:1972720241
Name:WAI, CHRISTINA J (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:J
Last Name:WAI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:677 ALA MOANA BLVD STE 1001
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-5408
Mailing Address - Country:US
Mailing Address - Phone:408-469-4900
Mailing Address - Fax:808-587-9507
Practice Address - Street 1:91-2135 FORT WEAVER RD STE 150
Practice Address - Street 2:
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706-1929
Practice Address - Country:US
Practice Address - Phone:808-691-3177
Practice Address - Fax:808-691-3195
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2019-04-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD442112208600000X
CT052326208600000X, 2086X0206X
HIMD202412086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008046765Medicaid
CT008046765Medicaid
PA214005HZCMedicare PIN