Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carolyn Chen Clark, MD

Individual provider Diagnostic Radiology Physician · NPI 1336536036

Carolyn Chen Clark, MD is a Diagnostic Radiology in Kailua, Hawaii. Graduated from University of Washington School of Medicine in 2015, 11 years ago. Practices with Southern New Hampshire Radiology Consultants PC, a 40-clinician group and accepts Medicare assignment. Licensed in Hawaii.

Years since qualifying
11
Trained at
University of Washington School of Medicine
Licensed in
HI
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

640 Ulukahiki St
Kailua, HI 96734-4454
Phone: (503) 251-6855
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 21521 (HI)

Record details

NPI number1336536036
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 20, 2015
Last updated in NPPESApril 12, 2022
Certification dateApril 4, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Southern New Hampshire Radiology Consultants Pc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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