Provider Demographics
NPI:1013119700
Name:CHUN, IAN NUI (MD)
Entity type:Individual
Prefix:DR
First Name:IAN
Middle Name:NUI
Last Name:CHUN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67-1294 LAIKEALOHA ST
Mailing Address - Street 2:
Mailing Address - City:KAMUELA
Mailing Address - State:HI
Mailing Address - Zip Code:96743-8317
Mailing Address - Country:US
Mailing Address - Phone:808-220-8914
Mailing Address - Fax:808-887-8118
Practice Address - Street 1:75 AUPUNI ST RM 206
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-4245
Practice Address - Country:US
Practice Address - Phone:808-933-0599
Practice Address - Fax:808-933-0411
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI5053208000000X, 2084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry