Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD.200262 | LA |
N | 111NI0900X | Internist | MD.200262 | LA |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD.200262 | LA |
N | 208000000X | Pediatrician | MD.200262 | LA |
N | 2080P0205X | Pediatric Endocrinologist | MD.200262 | LA |
NPI | 1417140997 |
---|---|
Provider Name | Dr. Daniel Summer Hsia |
First Address | Baton Rouge, LA 70808-9005 |
Second Address | Baton Rouge, LA 70808-9005 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2007 |
Last Update Date | 26/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1073831 | (05) | LA |
32828 | CDS NUMBER (01) | LA |