Provider Demographics
NPI:1326098179
Name:HLA, TIN T (MD)
Entity Type:Individual
Prefix:DR
First Name:TIN
Middle Name:T
Last Name:HLA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:200 JOSE FIGUERES AVE
Mailing Address - Street 2:SUITE 430
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-1500
Mailing Address - Country:US
Mailing Address - Phone:408-929-6088
Mailing Address - Fax:408-929-6087
Practice Address - Street 1:200 JOSE FIGUERES AVE
Practice Address - Street 2:SUITE 430
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1500
Practice Address - Country:US
Practice Address - Phone:408-929-6088
Practice Address - Fax:408-929-6087
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA36657207R00000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA770375452OtherCPA TAX ID
CO00A366570Medicaid
CAA36657OtherCA PHYSCIAN LICENSCE
CA110010292OtherRAILROAD MEDICARE
CA#48OtherSANTA CLARA COUNTY IPA
CA#48OtherSANTA CLARA COUNTY IPA
CAA36657OtherCA PHYSCIAN LICENSCE
CO00A366570Medicaid
CAA36657OtherCA PHYSCIAN LICENSCE