Basic Information
Provider Information
NPI: 1922076330
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HU
FirstName: SIDNEY
MiddleName: Y
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6001 SW 6TH AVE
Address2: SUITE 220
City: TOPEKA
State: KS
PostalCode: 666151011
CountryCode: US
TelephoneNumber: 7852320444
FaxNumber: 7852321562
Practice Location
Address1: 6001 SW 6TH AVE
Address2: SUITE 220
City: TOPEKA
State: KS
PostalCode: 666151006
CountryCode: US
TelephoneNumber: 7852320444
FaxNumber: 7852321562
Other Information
ProviderEnumerationDate: 03/10/2006
LastUpdateDate: 03/25/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000X04-30560KSY Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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