Healthcare Provider Details

I. General information

NPI: 1609186162
Provider Name (Legal Business Name): YEN MICHAEL SHENG HSU M.D., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: YEN SHENG HSU B.A.

II. Dates (important events)

Enumeration Date: 10/18/2010
Last Update Date: 11/28/2024
Certification Date: 11/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6479 LAS FLORES DR
BOCA RATON FL
33433-2364
US

IV. Provider business mailing address

6479 LAS FLORES DR
BOCA RATON FL
33433-2364
US

V. Phone/Fax

Practice location:
  • Phone: 646-668-1493
  • Fax:
Mailing address:
  • Phone: 646-668-1493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZB0001X
TaxonomyBlood Banking & Transfusion Medicine Physician
License NumberME170465
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207ZC0006X
TaxonomyClinical Pathology Physician
License NumberME170465
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: