Provider Demographics
NPI:1053522573
Name:TAM, ALISON YAH-SAN (DO)
Entity type:Individual
Prefix:DR
First Name:ALISON
Middle Name:YAH-SAN
Last Name:TAM
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:3302 SADDLE SOAP CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89135
Mailing Address - Country:US
Mailing Address - Phone:702-822-2100
Mailing Address - Fax:702-822-2105
Practice Address - Street 1:8530 W. SUNSET RD #130
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113
Practice Address - Country:US
Practice Address - Phone:702-822-2100
Practice Address - Fax:702-822-2105
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2014-08-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV1335207ND0101X, 207N00000X
CA20A8338207ND0101X
AZ3795207ND0101X
WY8013A207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery