Provider Demographics
NPI:1497807622
Name:HSIAO, NANCY (MD)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:HSIAO
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 1:7918 W SAHARA AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-1990
Mailing Address - Country:US
Mailing Address - Phone:702-360-6148
Mailing Address - Fax:702-360-2879
Practice Address - Street 1:7918 W SAHARA AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-1990
Practice Address - Country:US
Practice Address - Phone:702-360-6148
Practice Address - Fax:702-360-2879
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8693207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100507668Medicaid
NVCC4471OtherBLUE CROSS
NVCC4471OtherBLUE CROSS
G73120Medicare UPIN