Provider Demographics
NPI:1972703015
Name:TSAI, FELIX WANG (MD)
Entity Type:Individual
Prefix:DR
First Name:FELIX
Middle Name:WANG
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 741593
Mailing Address - Street 2:CSSG CARDIAC SURGERY
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-1593
Mailing Address - Country:US
Mailing Address - Phone:757-668-8544
Mailing Address - Fax:
Practice Address - Street 1:601 CHILDREN'S LANE
Practice Address - Street 2:CARDIAC SURGERY
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-1910
Practice Address - Country:US
Practice Address - Phone:757-668-8850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN11912080P0202X, 208G00000X
TXFTL 41883208G00000X
SC27000208G00000X
VA0101249419208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX189048504OtherCSHCN
TX8A4325OtherBCBS
NC5917693Medicaid
VA1972703015Medicaid
TX189048503Medicaid
TX189048501Medicaid
TX189048502OtherCSHCN
TX189048503Medicaid
TX8K6581Medicare PIN
VA1972703015Medicaid