Provider Demographics
NPI:1033116199
Name:TSAI, ALICE H (MD)
Entity Type:Individual
Prefix:DR
First Name:ALICE
Middle Name:H
Last Name:TSAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ALICE
Other - Middle Name:J
Other - Last Name:HO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6350 STEVENS FOREST RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-3231
Mailing Address - Country:US
Mailing Address - Phone:443-259-3770
Mailing Address - Fax:443-259-3775
Practice Address - Street 1:6350 STEVENS FOREST RD
Practice Address - Street 2:SUITE 103
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-3231
Practice Address - Country:US
Practice Address - Phone:443-259-3770
Practice Address - Fax:443-259-3775
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD53894208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
S7321228Medicare ID - Type Unspecified
H57395Medicare UPIN