Provider Demographics
NPI:1437291499
Name:KAMAT, KIRAN J (MD)
Entity Type:Individual
Prefix:DR
First Name:KIRAN
Middle Name:J
Last Name:KAMAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:KIRAN
Other - Middle Name:J
Other - Last Name:KAMAT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 7008
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91327-7008
Mailing Address - Country:US
Mailing Address - Phone:818-428-3237
Mailing Address - Fax:818-428-3237
Practice Address - Street 1:18250 ROSCOE BLVD
Practice Address - Street 2:STE 245
Practice Address - City:CA
Practice Address - State:CA
Practice Address - Zip Code:91325-4226
Practice Address - Country:US
Practice Address - Phone:818-428-3237
Practice Address - Fax:818-428-3237
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA322502084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA87653Medicare UPIN