Basic Information
Provider Information
NPI: 1801018023
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HSU
FirstName: ALBERT
MiddleName: L
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 843966
Address2:  
City: KANSAS CITY
State: MO
PostalCode: 641843966
CountryCode: US
TelephoneNumber: 5738823300
FaxNumber: 5738840943
Practice Location
Address1: 500 N KEENE ST
Address2: STE 203
City: COLUMBIA
State: MO
PostalCode: 652018105
CountryCode: US
TelephoneNumber: 5738173101
FaxNumber: 5734996065
Other Information
ProviderEnumerationDate: 05/03/2007
LastUpdateDate: 09/02/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XMD038350DCN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207VE0102X16642NHN Allopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
207VE0102X0101249979VAN Allopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
207VE0102X2017035181MOY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology

No ID Information.


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