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
Phone: (407) 649-6907
Fax: (407) 481-2035
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326003690 | NPPES |
Pennsylvania | MEDICAID | 001759842 |
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