Provider Demographics
NPI:1043470370
Name:YANG, SUNG S (MD)
Entity type:Individual
Prefix:DR
First Name:SUNG
Middle Name:S
Last Name:YANG
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:PO BOX 88084
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96830-8084
Mailing Address - Country:US
Mailing Address - Phone:808-342-6305
Mailing Address - Fax:808-568-0127
Practice Address - Street 1:2155 KALAKAUA AVE
Practice Address - Street 2:STE 308
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-2354
Practice Address - Country:US
Practice Address - Phone:808-871-7772
Practice Address - Fax:808-871-8540
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-10
Last Update Date:2016-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI14745207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine