Provider Demographics
NPI:1881039816
Name:HSU, JEFFREY NAN-HOW (DO)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:NAN-HOW
Last Name:HSU
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15059 N SCOTTSDALE RD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-2379
Mailing Address - Country:US
Mailing Address - Phone:602-778-3601
Mailing Address - Fax:
Practice Address - Street 1:15059 N SCOTTSDALE RD
Practice Address - Street 2:SUITE 600
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-2379
Practice Address - Country:US
Practice Address - Phone:602-778-3601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-03
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0066206207R00000X, 208M00000X
CA20A14264207R00000X
AZ006774207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist