Healthcare Provider Details

I. General information

NPI: 1922235530
Provider Name (Legal Business Name): YU-HSIEN HUANG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2009
Last Update Date: 10/29/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13640 N PLAZA DEL RIO BLVD
PEORIA AZ
85381
US

IV. Provider business mailing address

13640 N PLAZA DEL RIO BLVD
PEORIA AZ
85381
US

V. Phone/Fax

Practice location:
  • Phone: 623-876-3910
  • Fax: 623-285-2612
Mailing address:
  • Phone: 623-876-3910
  • Fax: 623-285-2612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number49088
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberR71533
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: