Alao, Kamardeen O

Alao, Kamardeen O is an individual health care provider with primary practice located at 3401 N Broad St 3Rd Fl Out Patient Bldg, Philadelphia PA 19140-5103. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Alao, Kamardeen O can be contacted via phone (215) 707-3326.

Contact Information

Primary practice address
3401 N Broad St 3Rd Fl Out Patient Bldg Philadelphia PA 19140-5103
Phone: (215) 707-3326
Fax: (215) 707-8028
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X MD422453 Pennsylvania
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD422453 Pennsylvania

Profile Details

NPI number 1053309963
LBN Legal business name Alao, Kamardeen O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Mar 8th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053309963 NPPES
Pennsylvania MEDICAID 1010582500002

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