Provider Demographics
NPI:1841229655
Name:KAMEL, NAWAL (MD)
Entity Type:Individual
Prefix:
First Name:NAWAL
Middle Name:
Last Name:KAMEL
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 1:625 FAIR OAKS AVE STE 270
Mailing Address - Street 2:
Mailing Address - City:SOUTH PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91030-5801
Mailing Address - Country:US
Mailing Address - Phone:626-346-2455
Mailing Address - Fax:626-639-3005
Practice Address - Street 1:1151 E WALNUT ST
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91761-6155
Practice Address - Country:US
Practice Address - Phone:909-467-0797
Practice Address - Fax:877-778-8097
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA34963208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A349630OtherMEDI CAL
CAP01796286-DU4034OtherRR MEDICARE
CAP01453372-DV5277OtherRAILROAD MEDICARE
CAP01284210/DS9933OtherRAILROAD MEDICARE
CAAP238Y-EFF 5/7/12Medicare PIN
CA00A349630OtherMEDI CAL
CAP01284210/DS9933OtherRAILROAD MEDICARE
CAWA34963EMedicare PIN
CAWA34963CMedicare PIN
CAAP238XMedicare PIN
E98890Medicare UPIN
CAWA34963IMedicare PIN
CACA140599Medicare PIN
CAP01796286-DU4034OtherRR MEDICARE
CAWA34963HMedicare PIN
CAWA34963KMedicare PIN
CACA217131-GA222AMedicare PIN
CAWA34963DMedicare PIN