Provider Demographics
NPI:1821073032
Name:KAMEL, WAEL (MD)
Entity Type:Individual
Prefix:
First Name:WAEL
Middle Name:
Last Name:KAMEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:WAEL
Other - Middle Name:
Other - Last Name:KAMEL-ABDELHADY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:5907 175TH PLACE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11365-1551
Mailing Address - Country:US
Mailing Address - Phone:718-939-0800
Mailing Address - Fax:718-939-1325
Practice Address - Street 1:5907 175TH PLACE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11365-1551
Practice Address - Country:US
Practice Address - Phone:718-939-0800
Practice Address - Fax:718-939-1325
Is Sole Proprietor?:No
Enumeration Date:2005-12-09
Last Update Date:2011-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2270332084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02394961Medicaid
NY02962LMedicare ID - Type Unspecified
H80262Medicare UPIN