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NPI Code Detail

MEDICARE: KHALID KAMAL M.D., F.A.A.P.

MEDICARE: KHALID KAMAL M.D., F.A.A.P.
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
1208000000XPediatrics Physician4301078454MI

Other Identifiers

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

General Provider Information

NPI Number : 1669448783
Entity Type Code : Individual
Provider Name (Legal Business Name) : KHALID KAMAL M.D., F.A.A.P.
Provider Business Mailing Address
First Line : 75 FABIUS DR
Second Line :
City : TROY
State : MI
Zip : 48098-3000
Country : US
Telephone Number : 248-879-1117
Fax Number :
Provider Business Practice Location Address
First Line : 1101 W UNIVERSITY DR
Second Line :
City : ROCHESTER
State : MI
Zip : 48307-1863
Country : US
Telephone Number : 248-652-5331
Fax Number : 248-652-5748
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 10/11/2021

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