Provider Demographics
NPI:1518448828
Name:KAMIL MUHYIEDDEEN, MD, INC.
Entity Type:Organization
Organization Name:KAMIL MUHYIEDDEEN, MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:KAMIL
Authorized Official - Middle Name:
Authorized Official - Last Name:MUHYIEDDEEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-470-8958
Mailing Address - Street 1:PO BOX 23048
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92406-0448
Mailing Address - Country:US
Mailing Address - Phone:713-470-8958
Mailing Address - Fax:
Practice Address - Street 1:2160 N ARROWHEAD AVE UNIT 23048
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92406-1255
Practice Address - Country:US
Practice Address - Phone:713-470-8958
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-24
Last Update Date:2018-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty