Organization
GEORGE K.F.SIU MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GEORGE K.F. SIU MD (OWNER/PHYSICIAN)
(559) 435-1903
Entity
Organization
Contact information
Practice address
6181 N THESTA ST, #102, FRESNO, CA 93710-8604
(559) 435-1903
(559) 435-3911
Mailing address
6181 N THESTA ST, #102, FRESNO, CA 93710-8604
(559) 435-1903
(559) 435-3911
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G27080
CA
261Q00000X
Clinic/Center
G27080
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G270800
MEDICARE PTAN
CA
01
—
00G270800
LICENCE # CA
—
Enumeration date
04/25/2011
Last updated
05/05/2011
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