Healthcare Provider Details

I. General information

NPI: 1528095817
Provider Name (Legal Business Name): JASON J TSAI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 06/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

817 PRINCETON AVE SW POB 2 SUITE 210
BIRMINGHAM AL
35211-1333
US

IV. Provider business mailing address

817 PRINCETON AVE SW POB 2 SUITE 210
BIRMINGHAM AL
35211-1333
US

V. Phone/Fax

Practice location:
  • Phone: 205-226-5911
  • Fax: 205-226-5937
Mailing address:
  • Phone: 205-226-5911
  • Fax: 205-226-5937

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number21241
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: