Provider Demographics
NPI:1447387436
Name:KAMRA, AMIT K (MD)
Entity Type:Individual
Prefix:
First Name:AMIT
Middle Name:K
Last Name:KAMRA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:40 VALLEY STREAM PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-1407
Mailing Address - Country:US
Mailing Address - Phone:610-644-8900
Mailing Address - Fax:484-924-0053
Practice Address - Street 1:6766 W SUNRISE BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33313-6072
Practice Address - Country:US
Practice Address - Phone:954-583-8472
Practice Address - Fax:954-583-8476
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2022-02-08
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Provider Licenses
StateLicense IDTaxonomies
PAMD440282207RN0300X
FLME115193207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1447387436OtherNPI
PA1024831230001Medicaid
PA1024831230001Medicaid