Individual
KAMALELDIN HASSAN KAMAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-4555
(228) 523-4515
Mailing address
753 CLASSON AVE, #5L, BROOKLYN, NY 11238-4647
(646) 403-1976
(347) 365-1901
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01057156A
IN
207R00000X
Internal Medicine Physician
239518
NY
208M00000X
Hospitalist Physician
01057156A
IN
208M00000X
Hospitalist Physician
239518
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000754235
ANTHEM PROVIDER NUMBER
IN
05
—
200899750
—
IN
Enumeration date
09/29/2006
Last updated
03/17/2018
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