Provider Demographics
NPI:1598949166
Name:TSUI, PATRICK LEUNG (DO)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:LEUNG
Last Name:TSUI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:886 LAFAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:RINGGOLD
Mailing Address - State:GA
Mailing Address - Zip Code:30736-2367
Mailing Address - Country:US
Mailing Address - Phone:423-208-9374
Mailing Address - Fax:800-288-9238
Practice Address - Street 1:886 LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:RINGGOLD
Practice Address - State:GA
Practice Address - Zip Code:30736-2367
Practice Address - Country:US
Practice Address - Phone:423-208-9374
Practice Address - Fax:800-288-9238
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-19
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA030915207Q00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA373326AMedicaid
GAB04922Medicare UPIN