Healthcare Provider Details

I. General information

NPI: 1043875297
Provider Name (Legal Business Name): JOSEPH TSAI MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2019
Last Update Date: 11/04/2024
Certification Date: 11/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1003 S 5TH ST
TACOMA WA
98405-4210
US

IV. Provider business mailing address

PO BOX 5299 MS: 820-5-PCO
TACOMA WA
98415-0299
US

V. Phone/Fax

Practice location:
  • Phone: 253-403-4994
  • Fax: 253-403-4991
Mailing address:
  • Phone: 253-459-8231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberMD61522808
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: