Healthcare Provider Details

I. General information

NPI: 1760444806
Provider Name (Legal Business Name): STEPHANIE SZU-KAI HSIEH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2006
Last Update Date: 03/01/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2545 E THOMAS RD STE 110
PHOENIX AZ
85016-7969
US

IV. Provider business mailing address

3333 E CAMELBACK RD SUITE 180
PHOENIX AZ
85018-2322
US

V. Phone/Fax

Practice location:
  • Phone: 602-309-1532
  • Fax: 602-956-0567
Mailing address:
  • Phone: 602-997-0484
  • Fax: 602-224-3315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0210X
TaxonomyPediatric Nephrology Physician
License Number34374
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: