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NPI Code Detail

MEDICARE: JOEL DESIRE KAMDA MD, PHD

MEDICARE: JOEL DESIRE KAMDA MD, PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician207871DC
2207V00000XObstetrics & Gynecology Physician35-099934OH
3390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1740441492
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOEL DESIRE KAMDA MD, PHD
Provider Business Mailing Address
First Line : 10 SEVERANCE CIRCLE
Second Line :
City : CLEVELAND
State : OH
Zip : 44114
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10 SEVERANCE CIR
Second Line :
City : CLEVELAND HTS
State : OH
Zip : 44118-1533
Country : US
Telephone Number : 216-524-7377
Fax Number : 216-297-2582
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2008
Last Update Date : 10/16/2013

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Directions to “ JOEL DESIRE KAMDA MD, PHD” Practice Location

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