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NPI Code Detail

MEDICARE: DR. SUPING J HSIEH MD

MEDICARE: DR. SUPING J 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
1207Q00000XFamily Medicine Physician01037337AIN

Other Identifiers

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

General Provider Information

NPI Number : 1972593408
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUPING J HSIEH MD
Provider Business Mailing Address
First Line : 3221 BEACON PKWY
Second Line :
City : GRANGER
State : IN
Zip : 46530-7196
Country : US
Telephone Number : 574-309-9974
Fax Number : 574-990-0102
Provider Business Practice Location Address
First Line : 3221 BEACON PKWY
Second Line :
City : GRANGER
State : IN
Zip : 46530-7196
Country : US
Telephone Number : 574-309-9974
Fax Number : 574-990-0102
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2005
Last Update Date : 05/18/2021

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