Provider Demographics
NPI:1316149206
Name:TAI, WAIMEI AMY (MD)
Entity type:Individual
Prefix:
First Name:WAIMEI
Middle Name:AMY
Last Name:TAI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:200 HYGEIA DR
Mailing Address - Street 2:CCHS PHYSICIAN CONTRACTING, SUITE 2300
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2049
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4755 OGLETOWN STANTON RD
Practice Address - Street 2:SUITE 1070
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19718-2200
Practice Address - Country:US
Practice Address - Phone:302-623-3017
Practice Address - Fax:302-733-6081
Is Sole Proprietor?:No
Enumeration Date:2007-06-03
Last Update Date:2015-10-07
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Provider Licenses
StateLicense IDTaxonomies
CAA1066822084N0400X, 2084V0102X
DEC1-00113922084V0102X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology