Provider Demographics
NPI:1952805574
Name:TSAI, KATHERINE YUNDAI (MD)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:YUNDAI
Last Name:TSAI
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 1:49 N DUNLAP ST FL 3
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38103-2802
Mailing Address - Country:US
Mailing Address - Phone:019-276-8199
Mailing Address - Fax:901-287-5970
Practice Address - Street 1:49 N DUNLAP ST FL 3
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38103-2802
Practice Address - Country:US
Practice Address - Phone:019-276-8199
Practice Address - Fax:901-287-5970
Is Sole Proprietor?:No
Enumeration Date:2018-03-20
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CA164780208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program