Provider Demographics
NPI:1861453789
Name:HSIEH, PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:
Last Name:HSIEH
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 1:10800 E GEDDES AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3895
Mailing Address - Country:US
Mailing Address - Phone:303-761-9190
Mailing Address - Fax:720-874-4462
Practice Address - Street 1:10800 E GEDDES AVE STE 300
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-3895
Practice Address - Country:US
Practice Address - Phone:303-761-9190
Practice Address - Fax:720-874-4462
Is Sole Proprietor?:No
Enumeration Date:2006-03-30
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE225992085R0202X
KS04-298402085R0202X
HIMD175242085R0202X
CO392112085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02722172Medicaid
AL1861453789Medicaid
WA0302837Medicaid
NE10025709000Medicaid
WY118202100Medicaid
UT1861453789Medicaid
CA1861453789Medicaid
OK200424930AMedicaid
NE84-059792913Medicaid
AZ919764Medicaid
MI104686202Medicaid
IA1861453787Medicaid
MT1861453789Medicaid
NM89126254Medicaid
TN1530356Medicaid
CO16339517Medicaid
SCQ39211Medicaid
NV1861453789Medicaid
SD1861453789Medicaid
MO200119105Medicaid
KS200380920AMedicaid
SCQ39211Medicaid
COC451708Medicare PIN
CO404686ZLJ3Medicare PIN
MI104686202Medicaid
IL$$$$$$$$$Medicaid
IA1861453787Medicaid
COC451688Medicare PIN
COF89053Medicare UPIN
NE10025709000Medicaid
CO16339517Medicaid
UT1861453789Medicaid
SD1861453789Medicaid
NM89126254Medicaid
COCO40654Medicare PIN
CO300127555Medicare PIN