MEDICARE: DR. ANDREA LAN TSAI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LC0200X	Critical Care Medicine (Anesthesiology) Physician	261081	MA

General Provider Information

NPI Number	:	1710114350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREA LAN TSAI M.D.

Provider Business Mailing Address
First Line	:	603 OCEAN ROAD
Second Line	:
City	:	APO
State	:	AP
Zip	:	96555
Country	:	US
Telephone Number	:	808-580-2224
Fax Number	:	808-580-2018

Provider Business Practice Location Address
First Line	:	603 OCEAN ROAD
Second Line	:
City	:	APO
State	:	AP
Zip	:	96555
Country	:	US
Telephone Number	:	808-580-2224
Fax Number	:	808-580-2018

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2009
Last Update Date	:	09/05/2024

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