Kayvan Kamali
Rheumatology
920 Judson Rd
Longview
, Texas 75601-5113
Kayvan Kamali
Rheumatology
920 Judson Rd
Longview
, Texas 75601-5113
(903) 236-7093
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About
Features
Specialties
- Rheumatology
Languages spoken
- English
Location
First Address
- Kayvan Kamali
- 920 Judson Rd
- Longview, TX
- Zip : 75601-5113
- Fax : (903) 236-7093
- Phone : (903) 236-7020
Second Address
- Kayvan Kamali
- 920 Judson Rd
- Longview, TX
- Zip : 75601-5113
- Fax : (903) 236-7093
- Phone : (903) 236-7020
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RR0500X | Rheumatology | L7279 | TX |
National Provider Identifier
| NPI | 1013912856 |
|---|---|
| Provider Name | Kayvan Kamali |
| First Address | Longview, TX 75601-5113 |
| Second Address | Longview, TX 75601-5113 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/06/2005 |
| Last Update Date | 18/12/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 170428001 | (05) | TX |
| H75825 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.