Healthcare Provider Details

I. General information

NPI: 1881039816
Provider Name (Legal Business Name): JEFFREY NAN-HOW HSU D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2013
Last Update Date: 02/13/2023
Certification Date: 02/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15059 N SCOTTSDALE RD SUITE 600
SCOTTSDALE AZ
85254-2379
US

IV. Provider business mailing address

15059 N SCOTTSDALE RD SUITE 600
SCOTTSDALE AZ
85254-2379
US

V. Phone/Fax

Practice location:
  • Phone: 602-778-3601
  • Fax:
Mailing address:
  • Phone: 602-778-3601
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberDR.0066206
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number20A14264
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberDR.0066206
License Number StateCO
# 4
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number006774
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: