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Contact Information

JACK W TSAO, MD, DPHIL
1331 UNION AVE STE 1145
MEMPHIS, TN38104-7509
 Phone: 901-448-7674
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Behavioral Neurology & Neuropsychiatry

2084B0040X
Indicates primary specialty

NPI Profile & details for JACK W TSAO · (Male)

NPI # 1437135084
Status Active
Credentials MD, DPHIL
Entity Individual
Enumeration date 12/15/2005
Last updated 04/25/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 310245
  • TN License # 51145
  • AR Medicaid 226224001
  • MO Medicaid 1437135084
  • MS Medicaid 03882085
  • TN Medicaid Q031283
Hospital affiliation(s)
  • NYU HOSPITALS CENTER - (Acute Care)
    550 FIRST AVENUE
    NEW YORK, NY 10016
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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