Provider Demographics
NPI:1174586655
Name:HUI, WENDY T (MD)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:T
Last Name:HUI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 TULLY RD
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95111-1917
Mailing Address - Country:US
Mailing Address - Phone:888-334-1000
Mailing Address - Fax:408-817-1416
Practice Address - Street 1:500 TULLY RD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95111-1917
Practice Address - Country:US
Practice Address - Phone:888-334-1000
Practice Address - Fax:408-817-1416
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA76895208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A768950Medicaid
I49353Medicare UPIN