Provider Demographics
NPI:1609864404
Name:HSU, MEI-YU (MD)
Entity Type:Individual
Prefix:
First Name:MEI-YU
Middle Name:
Last Name:HSU
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 1:1 CRANBERRY HL
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02421-7394
Mailing Address - Country:US
Mailing Address - Phone:678-679-9059
Mailing Address - Fax:205-579-9387
Practice Address - Street 1:1 CRANBERRY HL STE 303
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02421-7397
Practice Address - Country:US
Practice Address - Phone:800-325-7284
Practice Address - Fax:205-579-9387
Is Sole Proprietor?:No
Enumeration Date:2005-10-06
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA35061207ZD0900X, 207ZP0101X
MA227536207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology
No207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0291435Medicaid
IA34198OtherWELLMARK BCBS
IA34197OtherWELLMARK BCBS
IA1291435Medicaid
IAI9580Medicare ID - Type Unspecified
IA34197OtherWELLMARK BCBS
H83369Medicare UPIN