Organization
RHEUMATOLOGY ASSOCIATION OF LONGVIEW, PLLC
Active
Organization
RHEUMATOLOGY ASSOCIATION OF LONGVIEW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAYVAN KAMALI M.D. (OWNER)
(903) 236-7020
Entity
Organization
Contact information
Practice address
920 JUDSON RD, LONGVIEW, TX 75601
(903) 236-7020
(903) 236-7093
Mailing address
920 JUDSON RD, LONGVIEW, TX 75601
(903) 236-7020
(903) 236-7093
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160966101
—
TX
Enumeration date
07/25/2007
Last updated
12/18/2019
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