Individual
CHARLES NAM
Active
Individual
CHARLES NAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00032978
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0116426
L & I PROVIDER NUMBER
WA
01
—
5495135
AETNA PROVIDER NUMBER
WA
05
—
8178923
—
WA
01
—
91120349412
KPS PROVIDER NUMBER
WA
01
—
98371B002
TRICARE PROVIDER NUMBER
WA
01
—
NA7328
REGENCE RIDER NUMBER
WA
Enumeration date
05/27/2006
Last updated
11/03/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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