MEDICARE: DR. AASIM KAMAL M.D.

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
1	207W00000X	Ophthalmology Physician	30886	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902895931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AASIM KAMAL M.D.

Provider Business Mailing Address
First Line	:	2226 W NORTHERN AVE STE C203
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85021-4929
Country	:	US
Telephone Number	:	602-942-2020
Fax Number	:	602-942-2121

Provider Business Practice Location Address
First Line	:	2226 W NORTHERN AVE STE C203
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85021-4929
Country	:	US
Telephone Number	:	602-942-2020
Fax Number	:	602-942-2121

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2005
Last Update Date	:	12/15/2023

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