MEDICARE: HSIEH MEDICAL ASSOCIATES PLLC

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

General Provider Information

NPI Number	:	1598590770
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HSIEH MEDICAL ASSOCIATES PLLC

Provider Business Mailing Address
First Line	:	1402 ANDREA ST
Second Line	:
City	:	BOWLING GREEN
State	:	KY
Zip	:	42104-3336
Country	:	US
Telephone Number	:	270-781-0167
Fax Number	:	270-781-7112

Provider Business Practice Location Address
First Line	:	1402 ANDREA ST
Second Line	:
City	:	BOWLING GREEN
State	:	KY
Zip	:	42104-3336
Country	:	US
Telephone Number	:	270-781-0167
Fax Number	:	270-781-7112

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	ANSON HSIEH
Credential	:	MD
Telephone Number	:	270-781-0167

Provider Enumeration Date	:	09/05/2024
Last Update Date	:	11/14/2024

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