Individual
KAYVAN KAMALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
920 JUDSON RD, LONGVIEW, TX 75601-5113
(903) 236-7020
(903) 236-7093
Mailing address
920 JUDSON RD, LONGVIEW, TX 75601-5113
(903) 236-7020
(903) 236-7093
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
L7279
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170428001
—
TX
Enumeration date
06/17/2005
Last updated
12/18/2019
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