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
Phone: (209) 579-5628
Fax: (209) 579-5637
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114957628 | NPPES |
| California | MEDICAID | 00G717100 | |
| California | Other | 00G717102 |
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