Healthcare Provider Details

I. General information

NPI: 1811190606
Provider Name (Legal Business Name): ANGELA AI-CHIEH HSU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2007
Last Update Date: 10/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

TRIPLER ARMY MEDICAL CENTER/MCHK-PE 1 JARRETT WHITE ROAD
TRIPLER AMC HI
96859-5000
US

IV. Provider business mailing address

TRIPLER ARMY MEDICAL CENTER/MCHK-PE 1 JARRETT WHITE ROAD
TRIPLER AMC HI
96859-5000
US

V. Phone/Fax

Practice location:
  • Phone: 808-433-6407
  • Fax: 808-433-9809
Mailing address:
  • Phone: 808-433-6407
  • Fax: 808-433-9809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD034756
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License NumberMD034756
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: