Provider Demographics
NPI:1558059055
Name:KAMARA, AHMED BAKARR
Entity Type:Individual
Prefix:
First Name:AHMED
Middle Name:BAKARR
Last Name:KAMARA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9723 COUNTRY MEADOWS LN APT 1B
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-6303
Mailing Address - Country:US
Mailing Address - Phone:240-521-2229
Mailing Address - Fax:
Practice Address - Street 1:9723 COUNTRY MEADOWS LN APT 1B
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20723-6303
Practice Address - Country:US
Practice Address - Phone:240-521-2229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-24
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No251S00000XAgenciesCommunity/Behavioral Health