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Individual
SOPHIA TAM
Active
Individual
SOPHIA TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
11607558-1205
UT
208600000X
Surgery Physician
MD224915
OR
2086S0102X
Surgical Critical Care Physician
11607558-1205
UT
2086S0102X
Surgical Critical Care Physician
MD224915
OR
2086S0127X
Trauma Surgery Physician
Primary
MD224915
OR
Other
Enumeration date
04/20/2015
Last updated
08/04/2026
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