Kamali, Kayvan
Kamali, Kayvan is an sole proprietor health care provider with primary practice located at 920 Judson Rd , Longview TX 75601-5113. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Kamali, Kayvan can be contacted via phone (903) 236-7020.Contact Information
Primary practice address
920 Judson Rd
Longview TX 75601-5113
Phone: (903) 236-7020
Fax: (903) 236-7093
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | L7279 | Texas |
Profile Details
| NPI number | 1013912856 |
|---|---|
| LBN Legal business name | Kamali, Kayvan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Dec 18th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013912856 | NPPES |
| Texas | MEDICAID | 170428001 |
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