Tam, Tony Yuk Man

Tam, Tony Yuk Man is an individual health care provider with primary practice located at 1700 Coffee Rd , Modesto CA 95355-2803. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Tam, Tony Yuk Man can be contacted via phone (209) 579-5628.

Contact Information

Primary practice address
1700 Coffee Rd Modesto CA 95355-2803
Fax: (209) 579-5637
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X G71710 California
Allopathic & Osteopathic Physicians / Surgery 208600000X G71710 California

Profile Details

NPI number 1114957628
LBN Legal business name Tam, Tony Yuk Man
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Aug 24th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114957628 NPPES
California MEDICAID 00G717100
California Other 00G717102

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