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Individual

KIRAN BABU TAM TAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13215 DOTSON RD, SUITE 360, HOUSTON, TX 77070-4535
(832) 828-3919
(281) 807-3170
Mailing address
1709 DRYDEN RD, SUITE 1100, HOUSTON, TX 77030-2400
(713) 798-5511
(713) 798-2701

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
41798
CO
207VM0101X
Maternal & Fetal Medicine Physician
20153
MS
207VM0101X
Maternal & Fetal Medicine Physician
Primary
N8583
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01550039
CO
Enumeration date
10/11/2005
Last updated
03/07/2023
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