MEDICARE: KISSENG HSIEH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	A102128	CA

General Provider Information

NPI Number	:	1053300236
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KISSENG HSIEH MD

Provider Business Mailing Address
First Line	:	1587 E GATE WAY
Second Line	:
City	:	PLEASANTON
State	:	CA
Zip	:	94566-3521
Country	:	US
Telephone Number	:	209-879-3380
Fax Number	:

Provider Business Practice Location Address
First Line	:	5725 W LAS POSITAS BLVD
Second Line	:	SUITE 250
City	:	PLEASANTON
State	:	CA
Zip	:	94588-4054
Country	:	US
Telephone Number	:	292-546-8040
Fax Number	:	925-468-0446

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2005
Last Update Date	:	10/21/2013

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