Individual
NATHAN TAI PUNG KAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 MERCED STREET, SAN LEANDRO, CA 94577-4201
(510) 454-1000
Mailing address
2500 MERCED STREET, SAN LEANDRO, CA 94577-4201
(510) 454-1000
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G69248
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G692480
—
CA
Enumeration date
11/01/2006
Last updated
06/30/2015
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