Provider Demographics
NPI:1861432106
Name:CHOW, CHRISTOPHER K (DR CHRIS CHOW)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:K
Last Name:CHOW
Suffix:
Gender:M
Credentials:DR CHRIS CHOW
Other - Prefix:MR
Other - First Name:DR. CHRIS
Other - Middle Name:K
Other - Last Name:CHOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DR CHRIS CHOW
Mailing Address - Street 1:PO BOX 1389
Mailing Address - Street 2:
Mailing Address - City:KAUNAKAKAI
Mailing Address - State:HI
Mailing Address - Zip Code:96748-1389
Mailing Address - Country:US
Mailing Address - Phone:808-553-3602
Mailing Address - Fax:808-553-3603
Practice Address - Street 1:15 KAUNAKAKAI PLACE
Practice Address - Street 2:SUITE 6
Practice Address - City:KAUNAKAKAI
Practice Address - State:HI
Practice Address - Zip Code:96748-1389
Practice Address - Country:US
Practice Address - Phone:808-553-3602
Practice Address - Fax:808-553-3603
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI011701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI01929301Medicaid