Provider Demographics
NPI:1932238656
Name:TSANG, CHIU LAP WILLIAM (MD)
Entity type:Individual
Prefix:DR
First Name:CHIU LAP
Middle Name:WILLIAM
Last Name:TSANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2210 E. ILLINOIS SUITE #404
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93701-2184
Mailing Address - Country:US
Mailing Address - Phone:559-233-4291
Mailing Address - Fax:559-233-4740
Practice Address - Street 1:110 N VALERIA
Practice Address - Street 2:# 404
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93701
Practice Address - Country:US
Practice Address - Phone:559-233-4291
Practice Address - Fax:559-233-4740
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC39454207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C394540Medicaid
CAE09217Medicare UPIN
CA00C394540Medicare PIN