Healthcare Provider Details

I. General information

NPI: 1013085448
Provider Name (Legal Business Name): DAVID TEHWEI HSIEH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2006
Last Update Date: 08/26/2024
Certification Date: 08/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 WISCONSIN AVE FL 3
BETHESDA MD
20889-4504
US

IV. Provider business mailing address

8901 WISCONSIN AVE FL 3
BETHESDA MD
20889-0004
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-2737
  • Fax:
Mailing address:
  • Phone: 301-295-2737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD34093
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License NumberMD34093
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: