Provider Demographics
NPI:1972626927
Name:HUANG, EUGENE HSU (MD)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:HSU
Last Name:HUANG
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:PO BOX 84923
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-6223
Mailing Address - Country:US
Mailing Address - Phone:907-586-5762
Mailing Address - Fax:907-586-5777
Practice Address - Street 1:1701 SALMON CREEK LANE
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-7868
Practice Address - Country:US
Practice Address - Phone:907-586-5762
Practice Address - Fax:907-586-5777
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKMEDS79722085R0001X
OH350917302085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKK165342OtherMEDICARE PROVIDER NUMBER
AKMEDS7972OtherSTATE
OH000000575852OtherANTHEM
OHP00612608OtherMEDICARE RAILROAD