Provider Demographics
NPI:1073036232
Name:TSAO, MIRIAM WING SAN (MD)
Entity Type:Individual
Prefix:
First Name:MIRIAM
Middle Name:WING SAN
Last Name:TSAO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:P O BOX 1000 DEPT 457
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38148-0001
Mailing Address - Country:US
Mailing Address - Phone:901-275-3662
Mailing Address - Fax:901-271-0155
Practice Address - Street 1:1211 UNION AVE SUITE 300
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-3415
Practice Address - Country:US
Practice Address - Phone:901-516-0792
Practice Address - Fax:901-266-6415
Is Sole Proprietor?:No
Enumeration Date:2017-07-19
Last Update Date:2019-08-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN568102086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology