Provider Demographics
NPI:1417054198
Name:CHEN-TSAI, CATHERINE PING (MD)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:PING
Last Name:CHEN-TSAI
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 1:2285 CORPORATE CIR
Mailing Address - Street 2:STE 200
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-7759
Mailing Address - Country:US
Mailing Address - Phone:702-360-2763
Mailing Address - Fax:949-783-2880
Practice Address - Street 1:312 N ALMA SCHOOL RD
Practice Address - Street 2:SUITE 5
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-4354
Practice Address - Country:US
Practice Address - Phone:480-948-8400
Practice Address - Fax:480-948-8401
Is Sole Proprietor?:No
Enumeration Date:2006-09-17
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ35121207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ2Z4635OtherHEALTHNET
AZZ72153OtherMEDICARE GROUP
AZ229548Medicaid
AZ412054293OtherTRICARE ID
AZAZ0921730OtherBCBS
AZ848200Medicaid
AZ412054293OtherTRICARE ID
AZZ146464Medicare UPIN
AZZ111442Medicare PIN