MEDICARE: DR. HAMID KAMRAN 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	207RG0100X	Gastroenterology Physician	L3707	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	55515111	OTHER	TX	AETNA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	8B9671	OTHER	TX	BLUECROSS BLUESHILED

General Provider Information

NPI Number	:	1609890714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAMID KAMRAN M.D.

Provider Business Mailing Address
First Line	:	2725 MATLOCK RD
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76015-2529
Country	:	US
Telephone Number	:	817-417-4027
Fax Number	:	817-417-4043

Provider Business Practice Location Address
First Line	:	2725 MATLOCK RD
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76015-2529
Country	:	US
Telephone Number	:	817-417-4027
Fax Number	:	817-417-4043

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

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	01/23/2023

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