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Individual

DR. MOHAMMAD SHAHID KAMAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1040 SIERRA DR, SUITE 400, GREENWOOD, IN 46143-7240
(317) 528-4886
(317) 859-8239
Mailing address
1040 SIERRA DR, SUITE 400, GREENWOOD, IN 46143-7240
(317) 528-4886
(317) 859-8239

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01067942A
IN
2084P0800X
Psychiatry Physician
20752
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201054600X
IN
Enumeration date
11/16/2006
Last updated
11/23/2015
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