Provider Demographics
NPI:1366426694
Name:HSU, ANDREW A (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:A
Last Name:HSU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:665 S KNICKERBOCKER DR
Mailing Address - Street 2:#8
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-1059
Mailing Address - Country:US
Mailing Address - Phone:408-739-0070
Mailing Address - Fax:408-739-0090
Practice Address - Street 1:665 S KNICKERBOCKER DR
Practice Address - Street 2:#8
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-1059
Practice Address - Country:US
Practice Address - Phone:408-739-0070
Practice Address - Fax:408-739-0090
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-30
Last Update Date:2012-12-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG366152084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G366150Medicaid
CA00G366150Medicaid