Healthcare Provider Details

I. General information

NPI: 1609260892
Provider Name (Legal Business Name): CHIA-YANG HSU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: CHIA Y HSU M.D.

II. Dates (important events)

Enumeration Date: 03/25/2015
Last Update Date: 09/23/2022
Certification Date: 06/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 PRINGLE WAY STE 701
RENO NV
89502-1472
US

IV. Provider business mailing address

1155 MILL ST # M14
RENO NV
89502-1576
US

V. Phone/Fax

Practice location:
  • Phone: 775-982-5000
  • Fax: 775-982-3900
Mailing address:
  • Phone: 775-982-5262
  • Fax: 775-982-3900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number4301115155
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number21267
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: