Provider Demographics
NPI:1265474795
Name:CHEMALI, KAMAL R (MD)
Entity Type:Individual
Prefix:DR
First Name:KAMAL
Middle Name:R
Last Name:CHEMALI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:600 GRESHAM DR
Mailing Address - Street 2:STE 8630C
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23507-1904
Mailing Address - Country:US
Mailing Address - Phone:757-388-6105
Mailing Address - Fax:757-388-6106
Practice Address - Street 1:600 GRESHAM DR
Practice Address - Street 2:STE 8630C
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-1904
Practice Address - Country:US
Practice Address - Phone:757-388-6105
Practice Address - Fax:757-388-6106
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH350746492084N0400X
VA01012500182084N0400X
VA27042084D0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084D0003XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyDiagnostic Neuroimaging
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2212313Medicaid
OH2212313Medicaid