Provider Demographics
NPI:1134153372
Name:HSU, THOMAS TSONGMING (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:TSONGMING
Last Name:HSU
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 1:20395 PACIFICA DR
Mailing Address - Street 2:#104
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-3016
Mailing Address - Country:US
Mailing Address - Phone:408-446-5353
Mailing Address - Fax:408-252-0431
Practice Address - Street 1:20395 PACIFICA DR
Practice Address - Street 2:#104
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-3016
Practice Address - Country:US
Practice Address - Phone:408-446-5353
Practice Address - Fax:408-252-0431
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA41255207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA8145117Medicaid
CA8145117Medicaid
CAA29335Medicare UPIN