Provider Demographics
NPI:1669458261
Name:MORAR, KAMAL NANUBHAI (MD)
Entity Type:Individual
Prefix:
First Name:KAMAL
Middle Name:NANUBHAI
Last Name:MORAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3075 GOVERNORS PLACE BLVD
Mailing Address - Street 2:
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45409-1323
Mailing Address - Country:US
Mailing Address - Phone:937-424-2580
Mailing Address - Fax:937-424-2581
Practice Address - Street 1:3075 GOVERNORS PLACE BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45409-1323
Practice Address - Country:US
Practice Address - Phone:937-765-3113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350842332085R0202X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
I43593Medicare UPIN