Provider Demographics
NPI:1265484588
Name:TAM, KA WAI (MD)
Entity Type:Individual
Prefix:DR
First Name:KA WAI
Middle Name:
Last Name:TAM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1241 E HILLSDALE BLVD
Mailing Address - Street 2:SUITE 270
Mailing Address - City:FOSTER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94404-1241
Mailing Address - Country:US
Mailing Address - Phone:650-918-5080
Mailing Address - Fax:650-403-6000
Practice Address - Street 1:1241 E HILLSDALE BLVD
Practice Address - Street 2:SUITE 270
Practice Address - City:FOSTER CITY
Practice Address - State:CA
Practice Address - Zip Code:94404-1241
Practice Address - Country:US
Practice Address - Phone:650-918-5080
Practice Address - Fax:650-403-6000
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2014-10-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA88242207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH30618Medicare UPIN