Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208800000X | Urologist | 44855 | MN |
Y | 208800000X | Urologist | A117743 | CA |
N | 208800000X | Urologist | D0067571 | MD |
N | 208800000X | Urologist | MD431186 | PA |
NPI | 1033196423 |
---|---|
Provider Name | Alice K Tsao |
First Address | Fresno, CA 93720-2941 |
Second Address | Fresno, CA 93720-2941 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2005 |
Last Update Date | 14/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
414693000 | (05) | MD |
867930400 | (05) | MN |
H65537 | (02) |