Provider Demographics
NPI:1972644888
Name:KAMALI, AMIN (DO)
Entity Type:Individual
Prefix:DR
First Name:AMIN
Middle Name:
Last Name:KAMALI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 546
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-0010
Mailing Address - Country:US
Mailing Address - Phone:972-588-4541
Mailing Address - Fax:469-304-0139
Practice Address - Street 1:400 CHISHOLM PL STE 406
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-6911
Practice Address - Country:US
Practice Address - Phone:972-588-4541
Practice Address - Fax:469-304-0139
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN3774207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology