Provider Demographics
NPI:1811917602
Name:KAMAL, NEEL I (MD)
Entity type:Individual
Prefix:
First Name:NEEL
Middle Name:I
Last Name:KAMAL
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:PO BOX 938
Mailing Address - Street 2:
Mailing Address - City:BROOKLANDVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21022-0938
Mailing Address - Country:US
Mailing Address - Phone:410-871-9004
Mailing Address - Fax:410-871-9006
Practice Address - Street 1:826 WASHINGTON RD
Practice Address - Street 2:SUITE 218
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5750
Practice Address - Country:US
Practice Address - Phone:410-871-9004
Practice Address - Fax:410-871-9006
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD36409207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD285411200Medicaid
MD285411200Medicaid
E42575Medicare UPIN