Individual
GERMAN G KAMALOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5514 CORPORATE DR STE 150, SAINT JOSEPH, MO 64507-7763
(816) 271-1265
(816) 271-4060
Mailing address
1500 DODSON AVE, SUITE 60, FORT SMITH, AR 72901-5182
(479) 709-7325
(479) 709-7335
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
44869
TN
207RC0000X
Cardiovascular Disease Physician
Primary
2020017657
MO
207RC0000X
Cardiovascular Disease Physician
35.099425
OH
207RC0000X
Cardiovascular Disease Physician
E-8764
AR
207RC0001X
Clinical Cardiac Electrophysiology Physician
E-8764
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186470001
—
AR
05
—
200607530A
—
OK
Enumeration date
05/02/2007
Last updated
10/09/2020
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