Provider Demographics
NPI:1891795787
Name:KAMELHAR, DAVID L (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:L
Last Name:KAMELHAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:404 PARK AVE S
Mailing Address - Street 2:STE 701
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-8404
Mailing Address - Country:US
Mailing Address - Phone:212-685-6611
Mailing Address - Fax:212-685-6626
Practice Address - Street 1:404 PARK AVE S
Practice Address - Street 2:SUITE 701
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-8404
Practice Address - Country:US
Practice Address - Phone:212-685-6611
Practice Address - Fax:212-685-6626
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY126062207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY25A891Medicare PIN