Healthcare Provider Details
I. General information
NPI: 1346771847
Provider Name (Legal Business Name): TINA YANG HU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/26/2017
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4755 OGLETOWN-STANTON RD
NEWARK DE
19718
US
IV. Provider business mailing address
550 16TH ST FL 4
SAN FRANCISCO CA
94158-2604
US
V. Phone/Fax
- Phone: 302-733-2313
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080P0205X |
| Taxonomy | Pediatric Endocrinology Physician |
| License Number | A173102 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: