Provider Demographics
NPI:1245096932
Name:KAJAL, SMILE (MD)
Entity type:Individual
Prefix:DR
First Name:SMILE
Middle Name:
Last Name:KAJAL
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 1:1646 EAST BALTIMORE STREET
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21231
Mailing Address - Country:US
Mailing Address - Phone:410-478-2838
Mailing Address - Fax:
Practice Address - Street 1:220 E 33RD ST
Practice Address - Street 2:SUITE 631
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218
Practice Address - Country:US
Practice Address - Phone:410-554-4455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program