Provider Demographics
NPI:1376611038
Name:TSAI, SHIU CHI (MD)
Entity Type:Individual
Prefix:DR
First Name:SHIU
Middle Name:CHI
Last Name:TSAI
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 1:950 E ALMOND AVE
Mailing Address - Street 2:101
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93637-5694
Mailing Address - Country:US
Mailing Address - Phone:559-674-2300
Mailing Address - Fax:559-674-1551
Practice Address - Street 1:950 E ALMOND AVE
Practice Address - Street 2:101
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93637-5694
Practice Address - Country:US
Practice Address - Phone:559-674-2300
Practice Address - Fax:559-674-1551
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00A380340207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A380340Medicaid
CA00A380340Medicare ID - Type Unspecified
CA00A380340Medicaid