WILLIAM THAM

Address: 2002 Medical Pkwy, Suite 430, Annapolis, MD 21401-3046
Phone: 4102662700

WILLIAM THAM (NPI# 1114917937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114917937
Entity Type 1 - Individual
Full Name WILLIAM THAM
Credential MD
Practice Address 2002 Medical Pkwy
Suite 430
Annapolis
MD 21401-3046
Practice Telephone 4102662700
Practice Fax Number 4102691149
Enumeration Date 10/24/2005
Last Update Date 01/24/2008
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
D40561 MD Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MD MAMSI HEALTH PLANS 63990 01
AETNA 4139559 01
MD MD BLUE SHIELD 52125237 01
DC DC BLUE SHIELD C4750001 01

Office Location

Street Address 2002 MEDICAL PKWY
SUITE 430
City ANNAPOLIS
State MD
Zip Code 21401-3046

Providers with the same location

NPI Name Address
1154324374 DR. EDWARD WILLIAM TRUDO JR. 2002 Medical Pkwy, Sajak Pavilion, Suite 320, Annapolis, MD 21401-3046
1588669915 RENEE MICHELLE HILLMANN-PRENTICE 2002 Medical Pkwy, Ste 150, Annapolis, MD 21401-3159
1366448953 DR. AYANNA L JAMES 2002 Medical Pkwy, Suite 635, Annapolis, MD 21401-3046
1326046327 DR. GARY ALFRED DIX 2002 Medical Pkwy, Suite 430, Annapolis, MD 21401-3046
1316945207 DR. THOMAS BARBEE DUCKER 2002 Medical Pkwy, Suite 430, Annapolis, MD 21401-3046
1487652269 MR. CHRISTOPHER J BURROUGHS 2002 Medical Pkwy, Suite 430, Annapolis, MD 21401-3046
1932108768 MR. ROBERT L CROWDER 2002 Medical Pkwy, Suite 430, Annapolis, MD 21401-3046
1013915883 DR. BRIAN J SULLIVAN 2002 Medical Pkwy, Suite 430, Annapolis, MD 21401-3046
1518965300 MS. ELIZABETH A. MONTGOMERY 2002 Medical Pkwy, Suite 430, Annapolis, MD 21401-3046
1649278458 DR. TIMOTHY G BURKE 2002 Medical Pkwy, Suite 430, Annapolis, MD 21401-3046

Competitor

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City ANNAPOLIS
Zip Code 21401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.