Provider Demographics
NPI:1356384119
Name:HSU, KRISTINE WENSHENG (MD)
Entity type:Individual
Prefix:DR
First Name:KRISTINE
Middle Name:WENSHENG
Last Name:HSU
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1670 CLAIRMONT RD
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-4004
Mailing Address - Country:US
Mailing Address - Phone:404-321-6111
Mailing Address - Fax:404-417-1670
Practice Address - Street 1:1513 CLEVELAND AVE
Practice Address - Street 2:BLDG. #300
Practice Address - City:EAST POINT
Practice Address - State:GA
Practice Address - Zip Code:30344-6947
Practice Address - Country:US
Practice Address - Phone:404-321-6111
Practice Address - Fax:404-417-1670
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA0380162084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry