Provider Demographics
NPI:1821292319
Name:KAMAL, ABUL (MD)
Entity Type:Individual
Prefix:
First Name:ABUL
Middle Name:
Last Name:KAMAL
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 1:12924 RIDGEHAVEN RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-2210
Mailing Address - Country:US
Mailing Address - Phone:501-664-0300
Mailing Address - Fax:
Practice Address - Street 1:2, SAINT VINCENT CIRCLE
Practice Address - Street 2:SAINT VINCENT HOSPITAL, HOSPITALIST OFFICE
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205
Practice Address - Country:US
Practice Address - Phone:501-552-4677
Practice Address - Fax:501-552-4555
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-6931208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist