Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2011-00259 | NC |
N | 111NI0900X | Internist | 2011-00259 | NC |
Y | 207RX0202X | Medical Oncology | 0101262412 | VA |
N | 208000000X | Pediatrician | 2011-00259 | NC |
N | 2080P0207X | Pediatric Hematology-Oncologist | 2011-00259 | NC |
N | 2080P0207X | Pediatric Hematology-Oncologist | 21420 | MS |
NPI | 1124225313 |
---|---|
Provider Name | Johann H. Hsu |
First Address | Charlottesville, VA 22906-9007 |
Second Address | Charlottesville, VA 22911-4655 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2007 |
Last Update Date | 13/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
09957508 | (05) | MS |