Individual
WILLIAM THAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2002 MEDICAL PKWY, SUITE 430, ANNAPOLIS, MD 21401-3046
(410) 266-2700
(410) 269-1149
Mailing address
2002 MEDICAL PKWY, SUITE 430, ANNAPOLIS, MD 21401-3046
(410) 266-2700
(410) 269-1149
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
D40561
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4139559
AETNA
—
01
—
52125237
MD BLUE SHIELD
MD
01
—
63990
MAMSI HEALTH PLANS
MD
01
—
C4750001
DC BLUE SHIELD
DC
Enumeration date
10/24/2005
Last updated
01/24/2008
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