Healthcare Provider Details

I. General information

NPI: 1457849598
Provider Name (Legal Business Name): CAROLYN TSAI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2018
Last Update Date: 07/26/2024
Certification Date: 07/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE
CLEVELAND OH
44195-4220
US

IV. Provider business mailing address

9500 EUCLID AVE
CLEVELAND OH
44195-5866
US

V. Phone/Fax

Practice location:
  • Phone: 216-444-2560
  • Fax: 216-445-4378
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084E0001X
TaxonomyEpilepsy Physician
License Number35.144664
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number238501
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: