Individual
KAMRAN HUSSAIN IMAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3600 LIME ST STE 516, RIVERSIDE, CA 92501-0944
(951) 367-1060
Mailing address
8081 E SPRINGVIEW CT, ANAHEIM, CA 92808-1555
(909) 342-4916
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
A173489
CA
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
A173489
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
A173489
CA
261QS1000X
Student Health Clinic/Center
—
—
Other
Enumeration date
07/30/2018
Last updated
07/19/2025
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