Individual provider · Type 1 NPI

Timothy Tham

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1902736077 Active

Practice location

248 W 108th St
New York, NY 10025-2956

Mailing address

1415 Bay Ridge Ave
Brooklyn, NY 11219-6232

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1902736077

Timothy Tham's National Provider Identifier is 1902736077, issued on May 21, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on May 21, 2026.