Healthcare Provider Details

I. General information

NPI: 1871174367
Provider Name (Legal Business Name): SEUNGWOO CHAI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2021
Last Update Date: 05/03/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1475 W 49TH PL
HIALEAH FL
33012-3113
US

IV. Provider business mailing address

TOWER PALACE A-1306, 30 EONJU-RO 30-GIL, GANGNAM-GU
SEOUL KOREA
06293
KR

V. Phone/Fax

Practice location:
  • Phone: 305-284-7774
  • Fax: 305-284-7787
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: