Provider Demographics
NPI:1265548697
Name:CHAI, TOBY (MD)
Entity type:Individual
Prefix:DR
First Name:TOBY
Middle Name:
Last Name:CHAI
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 1:801 ALBANY ST FL G
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02119-3791
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:725 ALBANY STREET
Practice Address - Street 2:SHAPIRO 3 STE B
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118
Practice Address - Country:US
Practice Address - Phone:617-638-8485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD52526208600000X, 208800000X
MA280790208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD52858903OtherBLUE SHIELD
MD418316OtherMDIPA
MD653881900Medicaid
DE1000034726Medicaid
MD1752257OtherUNITED HLTHCARE NATIONAL
MD0015OtherCAREFIRST
MD112716OtherUS HLTHCARE
MD1800123OtherUNITED HLTHCARE
MD214328OtherKAISER
MD653881900Medicaid
MD0015OtherCAREFIRST
MD418316OtherMDIPA