Healthcare Provider Details

I. General information

NPI: 1144322991
Provider Name (Legal Business Name): BERNARD CHO-KWAN NGAI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2006
Last Update Date: 11/06/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9600 VETERANS DR SW
TACOMA WA
98493-0003
US

IV. Provider business mailing address

9600 VETERANS DRIVE
TACOMA WA
98493-0001
US

V. Phone/Fax

Practice location:
  • Phone: 253-583-1147
  • Fax: 253-589-4164
Mailing address:
  • Phone: 253-582-8440
  • Fax: 253-589-4150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number24198
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: