National Provider Identifier Database

JACK W TSAO, MD, DPHIL – NPI #1437135084
Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.


Contact Information

JACK W TSAO, MD, DPHIL
1331 UNION AVE STE 1145
MEMPHIS, TN38104-7509
Phone: 901-448-7674
Fax:
Website:
Specialty Taxonomy Code
* Neurology 2084N0400X
Behavioral Neurology & Neuropsychiatry 2084B0040X

* Indicates primary specialty

NPI Profile & details for JACK W TSAO

NPI Number 1437135084
Credentials MD, DPHIL
Entity Individual
Enumeration date 12/15/2005
Last updated 04/25/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 310245
  • TN License #: 51145
  • AR Medicaid: 226224001
  • MO Medicaid: 1437135084
  • MS Medicaid: 03882085
  • TN Medicaid: Q031283
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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