Provider Demographics
NPI:1477971471
Name:KAMEL, DINA SHAFIE (MD)
Entity Type:Individual
Prefix:DR
First Name:DINA
Middle Name:SHAFIE
Last Name:KAMEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DINA
Other - Middle Name:
Other - Last Name:ABDELMASSIH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5767 W CENTURY BLVD # 400
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-5631
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2625 W ALAMEDA AVE STE 412
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4818
Practice Address - Country:US
Practice Address - Phone:818-843-9020
Practice Address - Fax:818-260-8709
Is Sole Proprietor?:No
Enumeration Date:2014-04-07
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA139233207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADA3232267556Medicaid