Provider Demographics
NPI:1235203910
Name:TSAU, PEI H (MD)
Entity Type:Individual
Prefix:
First Name:PEI
Middle Name:H
Last Name:TSAU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 DISTEL CIR
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94022-1408
Mailing Address - Country:US
Mailing Address - Phone:650-853-5745
Mailing Address - Fax:
Practice Address - Street 1:87 ENCINA AVE
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94301-2322
Practice Address - Country:US
Practice Address - Phone:650-853-5745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ29184208G00000X
CAC55016208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ697336Medicaid
AZP00804180OtherRR MEDICARE
AZZ136305Medicare PIN
AZP00804180OtherRR MEDICARE
AZ697336Medicaid