Provider Demographics
NPI:1245219229
Name:HUA, SHUMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SHUMAN
Middle Name:
Last Name:HUA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 ESSJAY RD STE 170
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-8235
Mailing Address - Country:US
Mailing Address - Phone:716-630-1219
Mailing Address - Fax:716-817-1726
Practice Address - Street 1:325 ESSJAY RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-8243
Practice Address - Country:US
Practice Address - Phone:716-630-1037
Practice Address - Fax:716-250-5900
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY229305-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY161000580OtherNORTH AMERICAN PREFERRED
NY161000580OtherEMPIRE
NY0493387Medicaid
NY000527433003OtherHEALTH NOW
NY0493531OtherIHA
NY00026168603OtherUNIVERA