Provider Demographics
NPI:1144314667
Name:DANG, COLLIN ROBERT (MD)
Entity type:Individual
Prefix:DR
First Name:COLLIN
Middle Name:ROBERT
Last Name:DANG
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 1:550 S BERETANIA ST
Mailing Address - Street 2:SUITE 501
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2414
Mailing Address - Country:US
Mailing Address - Phone:808-531-3311
Mailing Address - Fax:808-550-0279
Practice Address - Street 1:550 S BERETANIA ST
Practice Address - Street 2:SUITE 501
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2414
Practice Address - Country:US
Practice Address - Phone:808-531-3311
Practice Address - Fax:808-550-0279
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2886208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI03670602Medicaid
HI40428OtherHMSA
HI40428OtherHMSA QUEST
HI03670602Medicaid