Healthcare Provider Details

I. General information

NPI: 1790461358
Provider Name (Legal Business Name): DINA MOHAMED KAMEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2023
Last Update Date: 04/25/2026
Certification Date: 04/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3863 ALABAMA AVE SE
WASHINGTON DC
20020-1001
US

IV. Provider business mailing address

6863 CHELSEA RD
MC LEAN VA
22101-2806
US

V. Phone/Fax

Practice location:
  • Phone: 202-800-4488
  • Fax: 202-771-4966
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN2001569
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number065081-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: