Individual
HESHAM KAMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2505 W HAMMER LN, STOCKTON, CA 95209-2839
(209) 944-9799
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C150039
CA
208000000X
Pediatrics Physician
MD430695
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003056
FIRST PRIORITY HEALTH
PA
05
—
1019571350001
—
PA
01
—
1975077
HIGHMARK BLUE SHIELD
PA
01
—
205880364
BLUE RIDGE HEALTH NETWORK
PA
Enumeration date
02/08/2007
Last updated
07/21/2022
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