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NPI Code Detail

MEDICARE: DR. FAYAK S KAMILI M.D.

MEDICARE: DR. FAYAK S KAMILI 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
1207RI0011XInterventional Cardiology PhysicianN4507TX
2207RC0000XCardiovascular Disease Physician4576NE
3207RI0011XInterventional Cardiology Physician20677ND

General Provider Information

NPI Number : 1164642666
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FAYAK S KAMILI M.D.
Provider Business Mailing Address
First Line : PO BOX 2365
Second Line :
City : FRISCO
State : TX
Zip : 75034-0044
Country : US
Telephone Number : 972-379-7129
Fax Number : 214-291-5829
Provider Business Practice Location Address
First Line : 5150 WARREN PKWY
Second Line :
City : FRISCO
State : TX
Zip : 75034-7462
Country : US
Telephone Number : 972-379-7129
Fax Number : 214-291-5829
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2007
Last Update Date : 10/25/2024

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