Provider Demographics
NPI:1619961000
Name:KAMAL, SAKINA A (MD)
Entity Type:Individual
Prefix:
First Name:SAKINA
Middle Name:A
Last Name:KAMAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4401 WATERMELON RD
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35473-5197
Mailing Address - Country:US
Mailing Address - Phone:205-343-2811
Mailing Address - Fax:205-391-0900
Practice Address - Street 1:4401 WATERMELON RD
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35473-5197
Practice Address - Country:US
Practice Address - Phone:205-343-2811
Practice Address - Fax:205-391-0900
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL16537207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
060018578OtherRAILROAD MEDICARE
209445OtherFEDERAL BLACK LUNG PROGRA
AL000087622Medicaid
MS09015593Medicaid
AL51087622OtherBC/BS OF ALABAMA
AL000087622Medicaid
AL51087622OtherBC/BS OF ALABAMA