Individual
DR. KAMEL H. GHANDOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
107 GLENBROOK RD, STAMFORD, CT 06902-3001
(203) 658-7588
(203) 658-7588
Mailing address
107 GLENBROOK RD, STAMFORD, CT 06902-3001
(203) 658-7588
(203) 658-7577
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
044176
CT
207L00000X
Anesthesiology Physician
Primary
252468
NY
208VP0000X
Pain Medicine Physician
044176
CT
208VP0000X
Pain Medicine Physician
252468
NY
208VP0014X
Interventional Pain Medicine Physician
044176
CT
208VP0014X
Interventional Pain Medicine Physician
252468
NY
Other
Enumeration date
06/06/2006
Last updated
12/12/2013
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