Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | P4769 | TX |
NPI | 1093040313 |
---|---|
Provider Name | Qurat-Ul-Ain Kamili |
First Address | Charlotte, NC 28260-3725 |
Second Address | Garland, TX 75042-5714 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2009 |
Last Update Date | 11/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
420154ZM3J | MEDICARE PTAN (01) | TX |
420154ZM3L | MEDICARE PTAN (01) | TX |