Provider Demographics
NPI:1609021831
Name:NG, EUGENE (MD, MBA)
Entity type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:
Last Name:NG
Suffix:
Gender:M
Credentials:MD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 PIIKOI ST APT 4405
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-4286
Mailing Address - Country:US
Mailing Address - Phone:323-257-3937
Mailing Address - Fax:323-257-3200
Practice Address - Street 1:88 PIIKOI ST APT 4405
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4286
Practice Address - Country:US
Practice Address - Phone:323-257-3937
Practice Address - Fax:323-257-3200
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-02
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC54116207W00000X
HIMD-15409207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology