Provider Demographics
NPI:1912089939
Name:HONG, TU-HI (MD)
Entity Type:Individual
Prefix:DR
First Name:TU-HI
Middle Name:
Last Name:HONG
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 1:919 E MERRITT AVE
Mailing Address - Street 2:
Mailing Address - City:TULARE
Mailing Address - State:CA
Mailing Address - Zip Code:93274-2221
Mailing Address - Country:US
Mailing Address - Phone:559-686-0690
Mailing Address - Fax:559-686-6404
Practice Address - Street 1:919 E MERRITT AVE
Practice Address - Street 2:
Practice Address - City:TULARE
Practice Address - State:CA
Practice Address - Zip Code:93274-2221
Practice Address - Country:US
Practice Address - Phone:559-686-0690
Practice Address - Fax:559-686-6404
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG45761208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G457610Medicaid
CAA89825Medicare UPIN
CA00G457610Medicare Oscar/Certification