MEDICARE: DR. RUO-QI HU 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	207RN0300X	Nephrology Physician	036118151	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144276072
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RUO-QI HU MD

Provider Business Mailing Address
First Line	:	4550 MEMORIAL DR
Second Line	:	STE. 410
City	:	BELLEVILLE
State	:	IL
Zip	:	62226-5372
Country	:	US
Telephone Number	:	618-234-8246
Fax Number	:	618-234-8271

Provider Business Practice Location Address
First Line	:	4550 MEMORIAL DR
Second Line	:	STE. 410
City	:	BELLEVILLE
State	:	IL
Zip	:	62226-5372
Country	:	US
Telephone Number	:	618-234-8246
Fax Number	:	618-234-8271

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

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	03/20/2014

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Directions to “ DR. RUO-QI HU MD” Practice Location

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