Provider Demographics
NPI:1811190606
Name:HSU, ANGELA AI-CHIEH (MD)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:AI-CHIEH
Last Name:HSU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:TRIPLER ARMY MEDICAL CENTER/MCHK-PE
Mailing Address - Street 2:1 JARRETT WHITE ROAD
Mailing Address - City:TRIPLER AMC
Mailing Address - State:HI
Mailing Address - Zip Code:96859-5000
Mailing Address - Country:US
Mailing Address - Phone:808-433-6407
Mailing Address - Fax:808-433-9809
Practice Address - Street 1:TRIPLER ARMY MEDICAL CENTER/MCHK-PE
Practice Address - Street 2:1 JARRETT WHITE ROAD
Practice Address - City:TRIPLER AMC
Practice Address - State:HI
Practice Address - Zip Code:96859-5000
Practice Address - Country:US
Practice Address - Phone:808-433-6407
Practice Address - Fax:808-433-9809
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-08
Last Update Date:2007-10-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCMD034756208000000X, 2080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics