Provider Demographics
NPI:1679528301
Name:HSU, HUIMEI (RD)
Entity type:Individual
Prefix:
First Name:HUIMEI
Middle Name:
Last Name:HSU
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4132 CARMICHAEL RD
Mailing Address - Street 2:APT 736
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106
Mailing Address - Country:US
Mailing Address - Phone:334-286-4011
Mailing Address - Fax:334-286-4108
Practice Address - Street 1:BMA OF MONTGOMERY BAPTIST CKD SERVICES
Practice Address - Street 2:1400 NARROW LANE PKWY
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36111-2654
Practice Address - Country:US
Practice Address - Phone:334-286-4011
Practice Address - Fax:334-286-4108
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1081133VN1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL515-54736OtherBLUE CROSS BLUE SHIELD
AL515-54736OtherBLUE CROSS BLUE SHIELD