Individual
ABDUL KAWAMLEH
Active
Individual
ABDUL KAWAMLEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
10152395A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000180448
ANTHEM BC/BS
IN
05
—
200279070A
—
IN
05
—
200293540A
—
IN
01
—
60060435
RAILROAD MEDICARE
IN
01
—
9115389
ANTHEM BC/BS
IL
Enumeration date
06/01/2005
Last updated
08/24/2011
Update your record
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