Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 036119984 | IL |
N | 111NI0900X | Internist | 036119984 | IL |
N | 207R00000X | Internist | A121562 | CA |
N | 111NI0900X | Internist | A121562 | CA |
Y | 207RX0202X | Medical Oncology | A121562 | CA |
NPI | 1144487323 |
---|---|
Provider Name | Muhammad Omair Kamal |
First Address | Loma Linda, CA 92350-1700 |
Second Address | Loma Linda, CA 92354-2804 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2008 |
Last Update Date | 12/07/2017 |