Provider Demographics
NPI:1699801308
Name:TSAI, KENNETH YEE (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:YEE
Last Name:TSAI
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1515 HOLCOMBE BLVD
Mailing Address - Street 2:MDACC DEPARTMENT OF DERMATOLOGY, UNIT 1452
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4000
Mailing Address - Country:US
Mailing Address - Phone:713-745-1113
Mailing Address - Fax:713-745-3597
Practice Address - Street 1:1515 HOLCOMBE BLVD
Practice Address - Street 2:MDACC DEPARTMENT OF DERMATOLOGY, UNIT 1452
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4000
Practice Address - Country:US
Practice Address - Phone:713-745-1113
Practice Address - Fax:713-745-3597
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2009-05-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MAL-217520207N00000X
TXM9706207ND0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX193597502OtherCSHCN
TX8BH420OtherBCBSTX
TX193597501Medicaid
TX8BH420OtherBCBSTX
TX193597501Medicaid