Provider Demographics
NPI:1881148716
Name:TSAO, SHU-KAI (LIC AC)
Entity type:Individual
Prefix:MR
First Name:SHU-KAI
Middle Name:
Last Name:TSAO
Suffix:
Gender:M
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:579 FARRINGTON HWY STE 206
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-2027
Mailing Address - Country:US
Mailing Address - Phone:956-220-0773
Mailing Address - Fax:
Practice Address - Street 1:579 FARRINGTON HWY STE 206
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-2027
Practice Address - Country:US
Practice Address - Phone:956-220-0773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-09
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIACU-1261171100000X
TXAC1619171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist