Provider Demographics
NPI:1255530325
Name:SI-HOI LAM, MD, LLC
Entity type:Organization
Organization Name:SI-HOI LAM, MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SI-HOI
Authorized Official - Middle Name:
Authorized Official - Last Name:LAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:203-483-6285
Mailing Address - Street 1:173 MONTOWESE ST
Mailing Address - Street 2:
Mailing Address - City:BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06405-3887
Mailing Address - Country:US
Mailing Address - Phone:203-483-6285
Mailing Address - Fax:203-483-6217
Practice Address - Street 1:173 MONTOWESE ST
Practice Address - Street 2:
Practice Address - City:BRANFORD
Practice Address - State:CT
Practice Address - Zip Code:06405-3887
Practice Address - Country:US
Practice Address - Phone:203-483-6285
Practice Address - Fax:203-483-6217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-17
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001248004Medicaid
CTC03331Medicare PIN
CTD80765Medicare UPIN