Provider Demographics
NPI:1366771065
Name:MA, SYAU-FU (MD)
Entity type:Individual
Prefix:
First Name:SYAU-FU
Middle Name:
Last Name:MA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10970 E WILDCAT HILL RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85262-4051
Mailing Address - Country:US
Mailing Address - Phone:435-640-2701
Mailing Address - Fax:877-849-9876
Practice Address - Street 1:5974 N MAPLE RIDGE TRAIL
Practice Address - Street 2:
Practice Address - City:OAKLEY
Practice Address - State:UT
Practice Address - Zip Code:84055
Practice Address - Country:US
Practice Address - Phone:435-640-2701
Practice Address - Fax:877-849-9876
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-09
Last Update Date:2015-12-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT337593-1205207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology