Provider Demographics
NPI:1114241007
Name:CHAI, KRISTIN DIANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:DIANNE
Last Name:CHAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7875 W COMMERCIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33351-4353
Mailing Address - Country:US
Mailing Address - Phone:954-726-0099
Mailing Address - Fax:954-726-0047
Practice Address - Street 1:7875 W COMMERCIAL BLVD
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33351-4353
Practice Address - Country:US
Practice Address - Phone:954-726-0099
Practice Address - Fax:954-726-0047
Is Sole Proprietor?:No
Enumeration Date:2010-03-21
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME116299207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology