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Individual

DR. MALIHA KAMAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1322 LOCUST AVE, FAIRMONT, WV 26554
(304) 366-0700
(304) 366-9529
Mailing address
PO BOX 1112, 1322 LOCUST AVE, FAIRMONT, WV 26554
(304) 366-0700
(304) 366-9529

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21917
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001771616
MT STATE BC/BS
WV
01
1558309187
OHIO WORKER'S COMP
WV
05
3810003484
WV
01
407115
CARELINK
WV
01
FQ21917
HEALTH PLAN
WV
01
I44819
WV WORKER'S COMP
WV
01
P00269249
RR MEDICARE
WV
Enumeration date
06/04/2006
Last updated
06/21/2010
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