Provider Demographics
NPI:1417931262
Name:KAMAL, ZEBA (MD)
Entity type:Individual
Prefix:
First Name:ZEBA
Middle Name:
Last Name:KAMAL
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 1:500 NE MULTNOMAH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97232-2031
Mailing Address - Country:US
Mailing Address - Phone:800-813-2000
Mailing Address - Fax:
Practice Address - Street 1:1230 7TH AVE
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:WA
Practice Address - Zip Code:98632-3166
Practice Address - Country:US
Practice Address - Phone:800-813-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD217699207R00000X
TXL1625207R00000X
WAMD61476945207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX147112004Medicaid
TX147112005Medicaid
TX147112006Medicaid
TX147112008Medicaid
TX147112009Medicaid
TX147112012Medicaid
TX147112002Medicaid
TX147112001Medicaid
TX147112003Medicaid
TX8G3301OtherBLUE CROSS BLUE SHIELD
TX147112010Medicaid
TX147112007Medicaid
TX147112011Medicaid
TX147112009Medicaid
TX147112012Medicaid