| Tsai Internal Medicine, Inc. | |
|
6400 Dutchmans Pkwy Suite 210 Louisville KY 40205-3340 | |
| (502) 897-1740 | |
| (502) 896-1294 |
| Full Name | Tsai Internal Medicine, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 6400 Dutchmans Pkwy, Louisville, Kentucky |
| Authorized Official Name and Position | Y-yi Tsai (OWNER) |
| Authorized Official Contact | 5028971740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tsai Internal Medicine, Inc. 6400 Dutchmans Pkwy Suite 210 Louisville KY 40205-3340 Ph: (502) 897-1740 | Tsai Internal Medicine, Inc. 6400 Dutchmans Pkwy Suite 210 Louisville KY 40205-3340 Ph: (502) 897-1740 |
| NPI Number | 1174813141 |
|---|---|
| Provider Enumeration Date | 04/12/2011 |
| Last Update Date | 04/12/2011 |
| Medicare PECOS PAC ID | 9739348566 |
|---|---|
| Medicare Enrollment ID | O20120314000035 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174813141 | NPI | - | NPPES |
| 64281942 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 28194 (Kentucky) | Primary |
| Provider Name | Yiyi Tsai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790845832 PECOS PAC ID: 2567641707 Enrollment ID: I20110120000555 |
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