Healthcare Provider Details

I. General information

NPI: 1518481753
Provider Name (Legal Business Name): ANDREW HU
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2017
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVE ML 2023
CINCINNATI OH
45229
US

IV. Provider business mailing address

3333 BURNET AVE ML 2023
CINCINNATI OH
45229
US

V. Phone/Fax

Practice location:
  • Phone: 513-636-4371
  • Fax: 513-636-7657
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License Number35.150994
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: