Provider Demographics
NPI:1760472864
Name:HSIAO, YIH MING (MD)
Entity Type:Individual
Prefix:
First Name:YIH MING
Middle Name:
Last Name:HSIAO
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 1:71 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BELCHERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01007-9503
Mailing Address - Country:US
Mailing Address - Phone:413-323-5945
Mailing Address - Fax:413-323-5068
Practice Address - Street 1:71 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BELCHERTOWN
Practice Address - State:MA
Practice Address - Zip Code:01007-9503
Practice Address - Country:US
Practice Address - Phone:413-323-5945
Practice Address - Fax:413-323-5068
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA46066208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000008405OtherBOSTON HEALTHNET
13202OtherHEALTH NEW ENGLAND
0111686OtherMA HEALTH
4208702OtherAETNA
731348OtherTUFTS
MA0111686Medicaid
G02007OtherBCBS MA
1301526002OtherCIGNA
70973OtherHARVARD PILGRIM
13202OtherHEALTH NEW ENGLAND
A55222Medicare UPIN