Provider Demographics
NPI:1609186162
Name:HSU, YEN-MICHAEL SHENG (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:YEN-MICHAEL
Middle Name:SHENG
Last Name:HSU
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:YEN
Other - Middle Name:SHENG
Other - Last Name:HSU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:660 S EUCLID AVE
Mailing Address - Street 2:BOX 8118
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1010
Mailing Address - Country:US
Mailing Address - Phone:314-362-5563
Mailing Address - Fax:
Practice Address - Street 1:660 S EUCLID AVE
Practice Address - Street 2:BOX 8118
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1010
Practice Address - Country:US
Practice Address - Phone:314-362-5563
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-18
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010018462207ZC0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZC0006XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology