Individual
SCHICKWANN TSAI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
PO BOX 581700, SALT LAKE CITY, UT 84158-1700
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4981600-1205
UT
207RH0003X
Hematology & Oncology Physician
Primary
4981600-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00379042
—
NM
05
—
0040385
—
MT
01
—
107010067101
IHC #
—
01
—
107010067H02
IHC HUNTSMAN #
—
01
—
49816001200001
REGENCE BCBS OF UTAH #
—
01
—
65515
PEHP #
—
01
—
693815
DMBA #
—
01
—
77995
UNIVERSITY HEALTH PLANS
—
05
—
D4134
—
UT
05
—
MD972UT
—
AK
01
—
QM0000053412
ALTIUS #
—
Enumeration date
05/10/2006
Last updated
09/11/2025
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