Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 01065313A | IN |
Y | 208600000X | Surgeon | 01065313A | IN |
N | 208200000X | Surgeon | 39829 | KY |
N | 208600000X | Surgeon | 39829 | KY |
N | 2086S0105X | Surgery of the Hand | 2007012288 | MO |
NPI | 1144359647 |
---|---|
Provider Name | Eugene C Hsiao |
First Address | Indianapolis, IN 46250-2805 |
Second Address | Indianapolis, IN 46256-4673 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2007 |
Last Update Date | 12/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000579076 | ANTHEM (01) | IN |
000000736251 | ANTHEM (01) | IN |
200921820 | (05) | IN |
P01125906 | RAILROAD MEDICARE (01) | IN |