Provider Demographics
NPI:1598870164
Name:LAM, PATRICK JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:JOSEPH
Last Name:LAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1523 KALAKAUA AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-2446
Mailing Address - Country:US
Mailing Address - Phone:808-942-7727
Mailing Address - Fax:808-943-8905
Practice Address - Street 1:1523 KALAKAUA AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-2446
Practice Address - Country:US
Practice Address - Phone:808-942-7727
Practice Address - Fax:808-943-8905
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HI4358207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HID36361Medicare UPIN
HIH0000BDKXNMedicare PIN