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NPI Code Detail

MEDICARE: DR. CINDY CHUNSHIN TAI MD

MEDICARE: DR. CINDY CHUNSHIN TAI MD
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
12086S0120XPediatric Surgery PhysicianMD61066495WA
2208600000XSurgery PhysicianMD61066495WA

General Provider Information

NPI Number : 1902034028
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CINDY CHUNSHIN TAI MD
Provider Business Mailing Address
First Line : PO BOX 25608
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84125-0608
Country : US
Telephone Number : 206-320-4476
Fax Number : 206-568-7043
Provider Business Practice Location Address
First Line : 1101 MADISON ST STE 800
Second Line :
City : SEATTLE
State : WA
Zip : 98104-1307
Country : US
Telephone Number : 206-215-2700
Fax Number : 206-215-2702
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2009
Last Update Date : 11/10/2021

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Directions to “ DR. CINDY CHUNSHIN TAI MD” Practice Location

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