Provider Demographics
NPI:1548200835
Name:LAM, MICHAEL KAI-JIA (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:KAI-JIA
Last Name:LAM
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 1:7789 SOUTHWEST FWY STE 530
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1834
Mailing Address - Country:US
Mailing Address - Phone:281-495-2222
Mailing Address - Fax:281-495-2146
Practice Address - Street 1:7789 SOUTHWEST FWY STE 530
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1834
Practice Address - Country:US
Practice Address - Phone:281-495-2222
Practice Address - Fax:281-495-2146
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK6076207W00000X, 207WX0107X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX103721003Medicaid
TXK6076OtherLICENSE NUMBER
TXG76526Medicare UPIN
TX8359B6Medicare ID - Type Unspecified
TX103721003Medicaid