Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marvin K. Tam, MD

Individual provider Diagnostic Radiology Physician · NPI 1174512032

Marvin K. Tam, MD is a Diagnostic Radiology in Mesa, Arizona. Graduated from Columbia University College of Physicians and Surgeons in 1993, 33 years ago. Practices with Banner Imaging Services LLC, a 124-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
33
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
AZ
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6424 E Broadway Rd Ste 101
Mesa, AZ 85206-1750
Phone: (480) 456-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1201 S Alma School Rd, Mesa, AZ 85210-2008 — (480) 545-8119

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 28319 (AZ)

Record details

NPI number1174512032
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 13, 2005
Last updated in NPPESFebruary 11, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 1993 (33 years in practice)
Group practice Banner Imaging Services Llc — 124 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations25 on file with Medicare

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