Provider Demographics
NPI:1588608921
Name:TSAI, WUN-YI (MD)
Entity Type:Individual
Prefix:
First Name:WUN-YI
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:PO BOX 26647
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95159-6647
Mailing Address - Country:US
Mailing Address - Phone:408-294-8774
Mailing Address - Fax:408-294-5047
Practice Address - Street 1:619 BOLTON CT
Practice Address - Street 2:# 1
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95129-2059
Practice Address - Country:US
Practice Address - Phone:408-294-8774
Practice Address - Fax:408-294-5047
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA34858207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA27606Medicare UPIN