Provider Demographics
NPI:1821375403
Name:KAMALI, MITRA (MD)
Entity Type:Individual
Prefix:
First Name:MITRA
Middle Name:
Last Name:KAMALI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1800 WESTWIND DR
Mailing Address - Street 2:SUITE 301
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-3055
Mailing Address - Country:US
Mailing Address - Phone:661-327-9617
Mailing Address - Fax:661-327-5701
Practice Address - Street 1:1800 WESTWIND DR
Practice Address - Street 2:SUITE 301
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-3055
Practice Address - Country:US
Practice Address - Phone:661-327-9617
Practice Address - Fax:661-327-5701
Is Sole Proprietor?:No
Enumeration Date:2011-11-09
Last Update Date:2011-11-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA430882083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine