Provider Demographics
NPI:1871743245
Name:TAM, EMILY WING YUN (MDCM, FRCP(C))
Entity type:Individual
Prefix:DR
First Name:EMILY WING YUN
Middle Name:
Last Name:TAM
Suffix:
Gender:F
Credentials:MDCM, FRCP(C)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:521 PARNASSUS AVE RM C-215
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0663
Mailing Address - Country:US
Mailing Address - Phone:415-502-7094
Mailing Address - Fax:415-502-5821
Practice Address - Street 1:521 PARNASSUS AVE RM C-215
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0663
Practice Address - Country:US
Practice Address - Phone:415-502-7094
Practice Address - Fax:415-502-5821
Is Sole Proprietor?:No
Enumeration Date:2008-09-23
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1055472084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology