Provider Demographics
NPI:1699771741
Name:SUEN, HON CHI (MD)
Entity type:Individual
Prefix:DR
First Name:HON CHI
Middle Name:
Last Name:SUEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13218 HAWKSHEAD CT
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131-1050
Mailing Address - Country:US
Mailing Address - Phone:314-590-2888
Mailing Address - Fax:314-590-2889
Practice Address - Street 1:13218 HAWKSHEAD CT
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63131-1050
Practice Address - Country:US
Practice Address - Phone:314-590-2888
Practice Address - Fax:314-590-2889
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO112379208600000X, 208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO204966105Medicaid
MO1235144601Medicaid
IL036100011Medicaid
MO112379OtherLICENSE
IL036100011OtherLICENSE
MO1102597OtherBNDD
MO1102597OtherBNDD
MO204966105Medicaid
IL036100011Medicaid