Provider Demographics
NPI:1811990195
Name:HU, DANIEL H (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:H
Last Name:HU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:18699 N 67TH AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-7142
Mailing Address - Country:US
Mailing Address - Phone:623-322-9200
Mailing Address - Fax:623-248-6012
Practice Address - Street 1:18699 N 67TH AVE STE 220
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-7142
Practice Address - Country:US
Practice Address - Phone:623-322-9200
Practice Address - Fax:623-248-6012
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ21586207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ170902Medicaid
AZF66268Medicare UPIN
F66268Medicare UPIN
60153Medicare PIN