Provider Demographics
NPI:1457344483
Name:TSAI, CHRISTOPHER K (MD)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:K
Last Name:TSAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1175 E ARROW HWY
Mailing Address - Street 2:SUITE E
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-5525
Mailing Address - Country:US
Mailing Address - Phone:909-985-9737
Mailing Address - Fax:909-981-1203
Practice Address - Street 1:1175 E ARROW HWY
Practice Address - Street 2:SUITE E
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-5525
Practice Address - Country:US
Practice Address - Phone:909-985-9737
Practice Address - Fax:909-981-1203
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-24
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA54843208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
22201729ZMedicare ID - Type Unspecified
H09204Medicare UPIN