Provider Demographics
NPI:1144919176
Name:TAM, DERRICK YUT-MING (MD)
Entity type:Individual
Prefix:DR
First Name:DERRICK YUT-MING
Middle Name:
Last Name:TAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:775 KING STREET WEST
Mailing Address - Street 2:UNIT 713
Mailing Address - City:TORONTO
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:M5V2K3
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:500 UNIVERSITY AVENUE, SUITE 602
Practice Address - Street 2:UNIVERSITY OF TORONTO
Practice Address - City:TORONTO
Practice Address - State:ONTARIO
Practice Address - Zip Code:M5G1V7
Practice Address - Country:CA
Practice Address - Phone:416-790-6489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-04
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program