Provider Demographics
NPI:1225099419
Name:CAI, JOHN JUN (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:JUN
Last Name:CAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 ABBOTT RD STE 310
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14220-1700
Mailing Address - Country:US
Mailing Address - Phone:716-844-8754
Mailing Address - Fax:716-828-3890
Practice Address - Street 1:515 ABBOTT RD STE 310
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14220-1700
Practice Address - Country:US
Practice Address - Phone:716-844-8754
Practice Address - Fax:716-828-3890
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-29
Last Update Date:2012-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY238954207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02733324Medicaid
NYRB0074Medicare ID - Type Unspecified
NYG85561Medicare UPIN