Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 34374 | AZ |
NPI | 1760444806 |
---|---|
Provider Name | Dr. Stephanie Szu-Kai Hsieh |
First Address | Phoenix, AZ 85018-2322 |
Second Address | Phoenix, AZ 85016-7969 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2006 |
Last Update Date | 01/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
954281 | (05) | AZ |
I48631 | (02) |