Provider Demographics
NPI:1952517971
Name:HSIAO, TONY YU LEA (MD)
Entity Type:Individual
Prefix:
First Name:TONY
Middle Name:YU LEA
Last Name:HSIAO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7507 LITTLE RIVER TURNPIKE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003
Mailing Address - Country:US
Mailing Address - Phone:703-256-1335
Mailing Address - Fax:703-256-1777
Practice Address - Street 1:7507 LITTLE RIVER TURNPIKE
Practice Address - Street 2:#103
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003
Practice Address - Country:US
Practice Address - Phone:703-256-1335
Practice Address - Fax:703-256-1777
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101051072207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F38414Medicare UPIN