# SHIVA KUMAR LAM, MD, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023311321
- **Authorized official:** ALLIE LAM (OFFICE MANAGER)
- **Authorized official phone:** (512) 467-2840

## Contact information

- **Practice address:** 1407 W STASSNEY LN, AUSTIN, TX 78745-2947
- **Practice address phone:** (512) 440-4800
- **Practice address fax:** (512) 440-4836
- **Mailing address:** P. O. BOX 26100, AUSTIN, TX 78755
- **Mailing address phone:** (512) 467-2840
- **Mailing address fax:** (512) 692-9158

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/09/2010
- **Last updated:** 09/30/2022