Provider Demographics
NPI:1023193141
Name:TOLIA, KAMAL NALIN (MD)
Entity Type:Individual
Prefix:MRS
First Name:KAMAL
Middle Name:NALIN
Last Name:TOLIA
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:6005 EASTRIDGE RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79762-5019
Mailing Address - Country:US
Mailing Address - Phone:432-362-3626
Mailing Address - Fax:432-366-3363
Practice Address - Street 1:6005 EASTRIDGE RD
Practice Address - Street 2:SUITE 110
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79762-5019
Practice Address - Country:US
Practice Address - Phone:432-362-3626
Practice Address - Fax:432-366-3363
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXG5697207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology