Provider Demographics
NPI:1982040416
Name:LAI, SAI EN (MD)
Entity Type:Individual
Prefix:
First Name:SAI EN
Middle Name:
Last Name:LAI
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:PO BOX 208030
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06520-8030
Mailing Address - Country:US
Mailing Address - Phone:203-688-2984
Mailing Address - Fax:203-688-4092
Practice Address - Street 1:333 CEDAR ST # 208030
Practice Address - Street 2:FMP 101
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-3206
Practice Address - Country:US
Practice Address - Phone:203-688-2984
Practice Address - Fax:203-688-4092
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-10
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CAA1453502084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program