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Contact Information

TAM TIET, MD
1383 N MCDOWELL BLVD STE 150
PETALUMA, CA94954
 Phone: 707-308-2840
 Fax: 707-573-5376
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for TAM TIET · (Female)

NPI Number 1285994244
Status Active
Credentials MD
Entity Individual
Enumeration date 05/24/2012
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A132568
  • CA Other A132568 STATE LICENSE
Hospital affiliation(s)
  • NOVATO COMMUNITY HOSPITAL - (Acute Care)
    180 ROWLAND WAY
    NOVATO, CA 94945
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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