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Physician Compare National (NPI:1700969920)

HEALTHCARE PROVIDER: WAI-KUEN LAM M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1700969920
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0446431092
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20110302000284
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name LAM
Individual professional last name
Provider First Name WAI-KUEN
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 1992
Individual professional's medical school graduation year
Primary Specialty INTERNAL MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 13630 MAPLE AVE
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 2L
Group Practice or individual's line 2 address
City FLUSHING
Group Practice or individual's city
State NY
Group Practice or individual's state
Zip Code 113553868
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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