Provider Demographics
NPI:1508973140
Name:KAMAL, MOHAMMAD KAMRAN (MBBS)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:KAMRAN
Last Name:KAMAL
Suffix:
Gender:M
Credentials:MBBS
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Mailing Address - Street 1:15373 INNOVATION DRIVE, SUITE 105
Mailing Address - Street 2:INTERNATIONAL TELERADIOLOGY CORPORATION
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128
Mailing Address - Country:US
Mailing Address - Phone:866-482-2366
Mailing Address - Fax:858-487-4862
Practice Address - Street 1:5/1 17TH SOUTH STREET
Practice Address - Street 2:PHASE II, DEFENCE HOUSING AUTHORITY
Practice Address - City:KARACHI
Practice Address - State:SIND
Practice Address - Zip Code:75500
Practice Address - Country:PK
Practice Address - Phone:9221-531-0295
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4252272085R0202X
MI43010 878092085R0202X
MDD646612085R0202X
IL036-1161382085R0202X
NJ25MA081081002085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology