Provider Demographics
NPI:1538323563
Name:HU, HUANKAI (MD, PHD)
Entity type:Individual
Prefix:
First Name:HUANKAI
Middle Name:
Last Name:HU
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4270
Mailing Address - Street 2:
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28370-8449
Mailing Address - Country:US
Mailing Address - Phone:910-687-4188
Mailing Address - Fax:843-479-6609
Practice Address - Street 1:30 PAGE ST.
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374-8449
Practice Address - Country:US
Practice Address - Phone:843-479-2402
Practice Address - Fax:843-479-6609
Is Sole Proprietor?:No
Enumeration Date:2008-07-18
Last Update Date:2013-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD444791207ZP0102X
OH35.096226207ZP0102X
SCMD35531207ZP0102X
NC2013-00780207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2013-00780OtherNC MEDICAL LICENSE
SCMD35531OtherSC MEDICAL LICENSE