Healthcare Provider Details

I. General information

NPI: 1801872502
Provider Name (Legal Business Name): MICHAELA L TSAI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2005
Last Update Date: 01/17/2022
Certification Date: 01/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 MADISON ST 2ND FL
SEATTLE WA
98104-3588
US

IV. Provider business mailing address

PO BOX 25608
SALT LAKE CITY UT
84125-0608
US

V. Phone/Fax

Practice location:
  • Phone: 206-386-2323
  • Fax: 206-215-6165
Mailing address:
  • Phone: 206-320-4476
  • Fax: 206-568-7043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD61182267
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: