Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 106746 | MN |
Y | 2084N0400X | Neurologist | 32243 | AL |
N | 2084N0400X | Neurologist | 56948 | MN |
NPI | 1013144484 |
---|---|
Provider Name | Mohamed Kazamel |
First Address | Birmingham, AL 35233-2110 |
Second Address | Birmingham, AL 35233-2110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2009 |
Last Update Date | 28/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
ENROLLED | (05) | MN |