=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427131309
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JOSEPH C. S. TSAI, M.D., INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/23/2006
-----------------------------------------------------
Last Update Date | 03/03/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 46-001 KAMEHAMEHA HWY SUITE 303
-----------------------------------------------------
City | KANEOHE
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96744-3724
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-235-6464
-----------------------------------------------------
Fax | 808-236-3207
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 46-001 KAMEHAMEHA HWY SUITE 303
-----------------------------------------------------
City | KANEOHE
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96744-3724
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-235-6464
-----------------------------------------------------
Fax | 808-236-3207
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. JOSEPH C. S. TSAI
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 808-235-6464
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------