Provider Demographics
NPI:1952561185
Name:DANIEL H. HU, MD PLLC
Entity Type:Organization
Organization Name:DANIEL H. HU, MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:H
Authorized Official - Last Name:HU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:623-322-9200
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-11
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ21586207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ170902Medicaid
AZZ60153Medicare PIN
AZF66268Medicare UPIN
AZ170902Medicaid
60153Medicare PIN