Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 35-05-9260-T | OH |
NPI | 1003859091 |
---|---|
Provider Name | John C Tsai |
First Address | Canton, OH 44718-2864 |
Second Address | Canton, OH 44718-2864 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 02/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0791433 | (05) | OH |
110085844 | MEDICARE RAILROAD (01) | |
E76455 | (02) | OH |