MEDICARE: DR. RAYMOND K. HSU M.D.

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	207R00000X	Internal Medicine Physician	A108247	CA
2	207RN0300X	Nephrology Physician	A108247	CA

General Provider Information

NPI Number	:	1124139167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAYMOND K. HSU M.D.

Provider Business Mailing Address
First Line	:	521 PARNASSUS AVE
Second Line	:	CLINICAL SCIENCES, ROOM C443
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94143-0532
Country	:	US
Telephone Number	:	415-476-2172
Fax Number	:	415-476-3381

Provider Business Practice Location Address
First Line	:	521 PARNASSUS AVE
Second Line	:	CLINICAL SCIENCES, ROOM C443
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94143-0532
Country	:	US
Telephone Number	:	415-476-2172
Fax Number	:	415-476-3381

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	04/22/2020

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