Provider Demographics
NPI:1174590541
Name:CHO, JONATHAN K (MD)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:K
Last Name:CHO
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 1:1329 LUSITANA ST STE 307
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2435
Mailing Address - Country:US
Mailing Address - Phone:808-524-6115
Mailing Address - Fax:808-528-1711
Practice Address - Street 1:1329 LUSITANA ST STE 307
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2435
Practice Address - Country:US
Practice Address - Phone:808-524-6115
Practice Address - Fax:808-528-1711
Is Sole Proprietor?:No
Enumeration Date:2006-03-03
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD3621207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIA47322OtherHMSA
HI04277801Medicaid
HI04277801Medicaid
HIA47322OtherHMSA