Provider Demographics
NPI:1992062822
Name:TSANG, HAMILTON (MD)
Entity type:Individual
Prefix:
First Name:HAMILTON
Middle Name:
Last Name:TSANG
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 1:1959 NE PACIFIC ST BOX 357110
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-7110
Mailing Address - Country:US
Mailing Address - Phone:206-598-0682
Mailing Address - Fax:
Practice Address - Street 1:1959 NE PACIFIC ST
Practice Address - Street 2:NN603E
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-4870
Practice Address - Country:US
Practice Address - Phone:206-598-0682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-17
Last Update Date:2017-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60775333207ZP0102X
CAA138283207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1992062822OtherMEDICARE PIN
WA1992062822Medicaid