1508973140 NPI number — DR. MOHAMMAD KAMRAN KAMAL MBBS

Table of content: DR. MOHAMMAD KAMRAN KAMAL MBBS (NPI 1508973140)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508973140 NPI number — DR. MOHAMMAD KAMRAN KAMAL MBBS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KAMAL
Provider First Name:
MOHAMMAD
Provider Middle Name:
KAMRAN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MBBS
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1508973140
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/03/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15373 INNOVATION DRIVE, SUITE 105
Provider Second Line Business Mailing Address:
INTERNATIONAL TELERADIOLOGY CORPORATION
Provider Business Mailing Address City Name:
SAN DIEGO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92128
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
866-482-2366
Provider Business Mailing Address Fax Number:
858-487-4862

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5/1 17TH SOUTH STREET
Provider Second Line Business Practice Location Address:
PHASE II, DEFENCE HOUSING AUTHORITY
Provider Business Practice Location Address City Name:
KARACHI
Provider Business Practice Location Address State Name:
SIND
Provider Business Practice Location Address Postal Code:
75500
Provider Business Practice Location Address Country Code:
PK
Provider Business Practice Location Address Telephone Number:
92215310295
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/23/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2085R0202X , with the licence number:  MD425227 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0202X , with the licence number: 43010 87809 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 2085R0202X , with the licence number: D64661 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0202X , with the licence number: 036-116138 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0202X , with the licence number: 25MA08108100 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)