Provider Demographics
NPI:1871888909
Name:CHAN, EDWARD SHEI-AHU (MD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:SHEI-AHU
Last Name:CHAN
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 1:3382 WAIALAE AVE
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-2637
Mailing Address - Country:US
Mailing Address - Phone:808-548-7033
Mailing Address - Fax:808-548-7034
Practice Address - Street 1:3382 WAIALAE AVE
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-2637
Practice Address - Country:US
Practice Address - Phone:808-548-7033
Practice Address - Fax:808-548-7034
Is Sole Proprietor?:No
Enumeration Date:2011-06-16
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMDR-6085207X00000X
TXQ8449207XS0106X
CAA148196207XS0106X
HIMD-208662086S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery