Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208G00000X | Cardiothoracic Vascular Surgeon | 60322 | CT |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | ME145664 | FL |
NPI | 1104859677 |
---|---|
Provider Name | Dr. Tain-Yen Hsia |
First Address | Orlando, FL 32806-2032 |
Second Address | Orlando, FL 32806-2032 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2006 |
Last Update Date | 29/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1.060322 | CONNECTICUT MEDICAL LICENSE (01) | CT |
106539500 | (05) | FL |