Healthcare Provider Details

I. General information

NPI: 1194935163
Provider Name (Legal Business Name): HSIN-YI STEVE HSU D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8301 ARLINGTON BLVD SUITE 508
FAIRFAX VA
22031-2902
US

IV. Provider business mailing address

8301 ARLINGTON BLVD SUITE 508
FAIRFAX VA
22031-2902
US

V. Phone/Fax

Practice location:
  • Phone: 703-560-4321
  • Fax:
Mailing address:
  • Phone: 703-560-4321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0000X
TaxonomySports Medicine Podiatrist
License Number0103000964
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: