MEDICARE: GIN-MING HSU MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2081P0004X	Spinal Cord Injury Medicine Physician	MD066418L	PA
2	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	MD066418L	PA
3	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	45421	CO
4	208100000X	Physical Medicine & Rehabilitation Physician	MD066418L	PA

General Provider Information

NPI Number	:	1265415988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GIN-MING HSU MD

Provider Business Mailing Address
First Line	:	2480 S DOWNING ST STE 210
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80210-5890
Country	:	US
Telephone Number	:	303-282-7772
Fax Number	:	303-282-4407

Provider Business Practice Location Address
First Line	:	2480 S DOWNING ST STE 210
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80210
Country	:	US
Telephone Number	:	303-282-7772
Fax Number	:	303-282-4407

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/28/2005
Last Update Date	:	09/18/2018

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