MEDICARE: JAY REUBEN 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	207R00000X	Internal Medicine Physician	A91992	CA
2	207R00000X	Internal Medicine Physician	04-33795	KS
3	207RC0000X	Cardiovascular Disease Physician	15893	NV

General Provider Information

NPI Number	:	1386703023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAY REUBEN HSU MD

Provider Business Mailing Address
First Line	:	6355 S BUFFALO DR FL 3
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-2133
Country	:	US
Telephone Number	:	702-216-3346
Fax Number	:

Provider Business Practice Location Address
First Line	:	8205 W WARM SPRINGS RD STE 210
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-3646
Country	:	US
Telephone Number	:	702-534-5464
Fax Number	:	702-534-5465

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

Provider Enumeration Date	:	12/08/2006
Last Update Date	:	08/21/2023

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