Provider Demographics
NPI:1417140997
Name:HSIA, DANIEL SUMMER (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:SUMMER
Last Name:HSIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2051 SILVERSIDE DR
Mailing Address - Street 2:SUITE 260
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-9005
Mailing Address - Country:US
Mailing Address - Phone:225-490-6309
Mailing Address - Fax:225-765-9291
Practice Address - Street 1:2051 SILVERSIDE DR
Practice Address - Street 2:SUITE 260
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-9005
Practice Address - Country:US
Practice Address - Phone:225-490-6309
Practice Address - Fax:225-765-9291
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-20
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.200262207R00000X, 208000000X, 2080P0205X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1073831Medicaid
LA32828OtherCDS NUMBER