Active NPI
Kim H Tam, MD
- Internal Medicine Physician
- Charlotte, NC
National Provider Identifier
1932187473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 31209
- Practice address
- 1918 Randolph Rd
Suite 440
Charlotte, NC 28207-1100 - Phone
- (704) 342-8115
- Fax
- (704) 344-2691
- NPI assigned
- Jan 5, 2006
- Last updated
- Jan 6, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 31209 | NC | Primary |
Addresses
Primary practice location
1918 Randolph Rd
Suite 440
Charlotte, NC 28207-1100
Mailing address
1918 Randolph Rd
Suite 440
Charlotte, NC 28207-1100
Phone (704) 342-8115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14458 | NC | MD | General Practice Dentistry |
| 31209 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charlotte Lung and Health Center | Current | Accepting new patients |
Locations
1918 Randolph Rd
Ste 440
Charlotte, NC 28207
Phone (704) 342-8115
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Charlotte, NC
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- Charlotte, NC
- NPI 1629037965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262736000000",
"number": "1932187473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1918 RANDOLPH RD",
"address_2": "SUITE 440",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071100",
"telephone_number": "704-342-8115",
"fax_number": "704-344-2691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1918 RANDOLPH RD",
"address_2": "SUITE 440",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071100",
"telephone_number": "704-342-8115",
"fax_number": "704-344-2691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAM",
"first_name": "KIM",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-05",
"last_updated": "2010-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "31209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.