Individual
KIT WAH TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.H.S.
Contact information
Practice address
2279 45TH STREET, SACRAMENTO, CA 95817-2229
(916) 734-5959
(916) 703-5265
Mailing address
4501 X STREET, SUITE 3016, SACRAMENTO, CA 95817
(916) 734-3772
(916) 734-7946
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A126094
CA
207RH0000X
Hematology (Internal Medicine) Physician
A126094
CA
207RH0003X
Hematology & Oncology Physician
Primary
A126094
CA
207RX0202X
Medical Oncology Physician
A126094
CA
Other
Enumeration date
07/10/2009
Last updated
08/22/2019
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