Healthcare Provider Details

I. General information

NPI: 1881601300
Provider Name (Legal Business Name): EILEEN HSU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 06/01/2021
Certification Date: 06/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8008 WESTPARK DR
MC LEAN VA
22102-3109
US

IV. Provider business mailing address

8008 WESTPARK DR
MC LEAN VA
22102-3109
US

V. Phone/Fax

Practice location:
  • Phone: 703-287-1075
  • Fax: 703-287-1076
Mailing address:
  • Phone: 703-287-1075
  • Fax: 703-287-1076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberMD039341
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberD0071422
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberMD425324
License Number StatePA
# 4
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number0101247815
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: