Provider Demographics
NPI:1871777607
Name:SIU, HENRY KAR HANG (MD)
Entity type:Individual
Prefix:DR
First Name:HENRY
Middle Name:KAR HANG
Last Name:SIU
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 1:139 CENTRE ST STE 307
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-4554
Mailing Address - Country:US
Mailing Address - Phone:212-334-3507
Mailing Address - Fax:646-365-0469
Practice Address - Street 1:139 CENTRE ST STE 307
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013
Practice Address - Country:US
Practice Address - Phone:212-334-3507
Practice Address - Fax:646-365-0469
Is Sole Proprietor?:No
Enumeration Date:2007-12-28
Last Update Date:2019-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD444073207RI0011X, 207R00000X
NY296712207RC0000X, 207R00000X, 207RI0011X
CT048870208M00000X, 207R00000X
390200000X
PAMT198672207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY12351923245OtherGROUP NPI
NY13-3857638OtherTAX ID
22-3505477OtherTAX ID
46-2009036OtherTX ID
23-2571699OtherTAX ID
1275582280OtherGROUP NPI