Provider Demographics
NPI:1023235124
Name:TAM, DIAMOND Y (MD)
Entity type:Individual
Prefix:DR
First Name:DIAMOND
Middle Name:Y
Last Name:TAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3090 VICENTE ST APT 105
Mailing Address - Street 2:#105
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94116-2724
Mailing Address - Country:US
Mailing Address - Phone:415-681-3513
Mailing Address - Fax:
Practice Address - Street 1:10 KORET WAY
Practice Address - Street 2:ROOM K-301
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0001
Practice Address - Country:US
Practice Address - Phone:415-476-1922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA93303207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology