Provider Demographics
NPI:1396703484
Name:TSAI, MITCHELL HON-BING (MD)
Entity type:Individual
Prefix:DR
First Name:MITCHELL
Middle Name:HON-BING
Last Name:TSAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 CABOT CT
Mailing Address - Street 2:
Mailing Address - City:SOUTH BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05403-8500
Mailing Address - Country:US
Mailing Address - Phone:802-316-0319
Mailing Address - Fax:802-847-5324
Practice Address - Street 1:FAHC, DEPARTMENT OF ANESTHESIOLOGY
Practice Address - Street 2:111 COLCHESTER AVE, WPP2
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05405-0001
Practice Address - Country:US
Practice Address - Phone:802-316-0319
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT042-0011115207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01524496Medicaid
VTVN0997Medicare ID - Type UnspecifiedFAHC, INC