Provider Demographics
NPI:1477927135
Name:KAMAS, CORP.
Entity Type:Organization
Organization Name:KAMAS, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:GELLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-414-9387
Mailing Address - Street 1:1821 UNIVERSITY AVE W STE S165
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-2892
Mailing Address - Country:US
Mailing Address - Phone:651-414-9387
Mailing Address - Fax:651-414-9414
Practice Address - Street 1:1821 UNIVERSITY AVE W STE S165
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-2892
Practice Address - Country:US
Practice Address - Phone:651-414-9387
Practice Address - Fax:651-414-9414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-18
Last Update Date:2018-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health