Individual
KAMAL SELIM LOUKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4867 BAXTER RD, SUITE 105, VIRGINIA BEACH, VA 23462-4469
(757) 473-9300
(757) 473-9361
Mailing address
4867 BAXTER RD, SUITE 105, VIRGINIA BEACH, VA 23462-4469
(757) 473-9300
(757) 473-9361
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101036392
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00W135E02
MEDICARE PROVIDER NUMBER
VA
05
—
5651719
—
VA
Enumeration date
05/17/2006
Last updated
10/24/2007
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