Tam, Kenneth C

Tam, Kenneth C is an individual health care provider with primary practice located at 217 Grand St Fl 9 , New York NY 10013-4286. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Radiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Tam, Kenneth C can be contacted via phone (212) 233-8813.

Contact Information

Primary practice address
217 Grand St Fl 9 New York NY 10013-4286
Phone: (212) 233-8813
Fax: (212) 267-3303
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 173277 New York
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 173277 New York
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 173277 New York

Profile Details

NPI number 1467482703
LBN Legal business name Tam, Kenneth C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Apr 18th, 2017 - about 8 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 1467482703 NPPES
New York Other 997F66WR321 MEDICARE PIN (INDIVIDUAL)
New York MEDICAID 03109868 MEDICARE PIN (INDIVIDUAL)

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