Provider Demographics
NPI:1497753024
Name:TSAI, CHIEH (MD)
Entity Type:Individual
Prefix:
First Name:CHIEH
Middle Name:
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 1:700 W OLIVE AVE
Mailing Address - Street 2:STE D
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95348-2435
Mailing Address - Country:US
Mailing Address - Phone:209-383-1343
Mailing Address - Fax:209-383-5291
Practice Address - Street 1:700 W OLIVE AVE
Practice Address - Street 2:STE D
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95348-2435
Practice Address - Country:US
Practice Address - Phone:209-383-1343
Practice Address - Fax:209-383-5291
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-08
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA337740207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A337740Medicaid
CA00A337740Medicaid