Provider Demographics
NPI:1558059972
Name:KAMIL EAR, NOSE, AND THROAT, LLC
Entity Type:Organization
Organization Name:KAMIL EAR, NOSE, AND THROAT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MD
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:JUNE
Authorized Official - Last Name:KAMIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-421-4697
Mailing Address - Street 1:11119 ROCKVILLE PIKE STE 320
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3143
Mailing Address - Country:US
Mailing Address - Phone:248-421-4697
Mailing Address - Fax:
Practice Address - Street 1:11119 ROCKVILLE PIKE STE 320
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3143
Practice Address - Country:US
Practice Address - Phone:248-421-4697
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-25
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty