Tam, Kenneth C
Tam, Kenneth C is an individual health care provider with primary practice located at 217 Grand St Fl 9 , New York NY 10013-4286. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Radiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Tam, Kenneth C can be contacted via phone (212) 233-8813.Contact Information
Primary practice address
217 Grand St Fl 9
New York NY 10013-4286
Phone: (212) 233-8813
Fax: (212) 267-3303
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 173277 | New York |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 173277 | New York |
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | 173277 | New York |
Profile Details
| NPI number | 1467482703 |
|---|---|
| LBN Legal business name | Tam, Kenneth C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Apr 18th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467482703 | NPPES |
| New York | Other | 997F66WR321 | MEDICARE PIN (INDIVIDUAL) |
| New York | MEDICAID | 03109868 | MEDICARE PIN (INDIVIDUAL) |
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