Provider Demographics
NPI:1578528295
Name:HSU, CHI-YUAN (MD)
Entity Type:Individual
Prefix:DR
First Name:CHI-YUAN
Middle Name:
Last Name:HSU
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 1:513 PARNASSUS AVENUE, HSE 672, BOX 0532, UCSF NEPHROLOG
Mailing Address - Street 2:SAN FRANCISCO, CA 94143-0532
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0532
Mailing Address - Country:US
Mailing Address - Phone:415-476-2172
Mailing Address - Fax:415-476-3381
Practice Address - Street 1:513 PARNASSUS AVENUE, HSE 672, BOX 0532, UCSF NEPHROLOG
Practice Address - Street 2:SAN FRANCISCO, CA 94143-0532
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0532
Practice Address - Country:US
Practice Address - Phone:415-476-2172
Practice Address - Fax:415-476-3381
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG85235207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0G8523500Medicaid
CA0G8523500Medicaid
CAG64555Medicare UPIN