MEDICARE: ABU KAMARA

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	164W00000X	Licensed Practical Nurse	LPN1007249	DC

General Provider Information

NPI Number	:	1073493813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABU KAMARA

Provider Business Mailing Address
First Line	:	6312 BRIGHTLEA DR
Second Line	:
City	:	LANHAM
State	:	MD
Zip	:	20706-2866
Country	:	US
Telephone Number	:	202-723-3060
Fax Number	:	202-723-3065

Provider Business Practice Location Address
First Line	:	6312 BRIGHTLEA DR
Second Line	:
City	:	LANHAM
State	:	MD
Zip	:	20706-2866
Country	:	US
Telephone Number	:	202-723-3060
Fax Number	:	202-723-3065

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

Provider Enumeration Date	:	09/03/2025
Last Update Date	:	09/03/2025

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Directions to “ ABU KAMARA ” Practice Location

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