Pourmoghadam, Kamal K.

Pourmoghadam, Kamal K. is an individual health care provider with primary practice located at 1222 S Orange Ave Mp 817, Orlando FL 32806-1215. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Pourmoghadam, Kamal K. can be contacted via phone (407) 649-6907.

Contact Information

Primary practice address
1222 S Orange Ave Mp 817 Orlando FL 32806-1215
Fax: (407) 481-2035
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD067818L Pennsylvania
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD067818L Pennsylvania

Profile Details

NPI number 1326003690
LBN Legal business name Pourmoghadam, Kamal K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Apr 24th, 2014 - about 11 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 1326003690 NPPES
Pennsylvania MEDICAID 001759842

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