Leung Tam, Yat Man C

Leung Tam, Yat Man C is an individual health care provider with primary practice located at 3288 Moanalua Rd , Honolulu HI 96819-1469. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Leung Tam, Yat Man C can be contacted via phone (808) 432-0000.

Contact Information

Primary practice address
3288 Moanalua Rd Honolulu HI 96819-1469
Phone: (808) 432-0000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APRN-960 Hawaii

Profile Details

NPI number 1366508574
LBN Legal business name Leung Tam, Yat Man C
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2006
Last updated Oct 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366508574 NPPES
Hawaii MEDICAID 59449101

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