Provider Demographics
NPI:1962405027
Name:HSU, PATRICK C (MD)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:C
Last Name:HSU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3201 S MARYLAND PKWY STE 400
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109-2426
Mailing Address - Country:US
Mailing Address - Phone:702-796-7150
Mailing Address - Fax:702-796-9071
Practice Address - Street 1:3150 N TENAYA WAY
Practice Address - Street 2:STE 460
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0463
Practice Address - Country:US
Practice Address - Phone:702-233-1000
Practice Address - Fax:702-233-1001
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2024-05-15
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Provider Licenses
StateLicense IDTaxonomies
NV8596207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002002751Medicaid
NV30753Medicare PIN
NV002002751Medicaid