Provider Demographics
NPI:1205814852
Name:HU, CHEN-SIEN (MD)
Entity type:Individual
Prefix:DR
First Name:CHEN-SIEN
Middle Name:
Last Name:HU
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 1:3633 LITTLE RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:TRINITY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-1815
Mailing Address - Country:US
Mailing Address - Phone:727-845-1406
Mailing Address - Fax:727-847-0489
Practice Address - Street 1:3633 LITTLE RD
Practice Address - Street 2:SUITE 104
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655-1815
Practice Address - Country:US
Practice Address - Phone:727-845-1406
Practice Address - Fax:727-847-0489
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 0044174174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4109677OtherAETNA PPO
FL204662800Medicaid
FL61354OtherBC/BS OF FL
FL98621OtherBC/BS OF FL GROUP
FL2138271OtherAETNA HMO
FL2138271OtherAETNA HMO
FL4109677OtherAETNA PPO
FL61354YMedicare ID - Type Unspecified
FL204662800Medicaid
FL2138271OtherAETNA HMO
FL592523434OtherTIN