Provider Demographics
NPI:1932138559
Name:TSANG, CONNIE CHING-YI (MD)
Entity Type:Individual
Prefix:
First Name:CONNIE
Middle Name:CHING-YI
Last Name:TSANG
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 19305
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28219-9305
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:431 COPPERFIELD BLVD NE
Practice Address - Street 2:STE 100
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-2405
Practice Address - Country:US
Practice Address - Phone:704-403-9300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200200293207QS1201X, 2084S0012X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No207QS1201XAllopathic & Osteopathic PhysiciansFamily MedicineSleep Medicine
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5904002Medicaid
NC142K1OtherBCBSNC
NC7219879OtherAETNA
NC1932138559Medicaid
NC5904005Medicaid
NC808035OtherPRTNERS MEDICARE CHOICE
NC6637852OtherCIGNA
NC$$$$$$$$$OtherTRICARE STANDARD
NC191792OtherMEDCOST
NC6637852OtherCIGNA
NC$$$$$$$$$OtherTRICARE STANDARD
NC1932138559Medicaid
NCNCA661AMedicare PIN