Individual
CHARLES C TSAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1409 E BRIGGSMORE AVE, MODESTO, CA 95355-2707
(209) 550-4750
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 524-1211
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G84045
CA
2085R0203X
Therapeutic Radiology Physician
G84045
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G840450
—
CA
Enumeration date
05/10/2006
Last updated
02/18/2011
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