| Asif Kamal Md Pa | |
|
21202 Olean Blvd Ste C6 Port Charlotte FL 33952-6771 | |
| (941) 889-7440 | |
| (941) 391-6089 |
| Full Name | Asif Kamal Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 21202 Olean Blvd Ste C6, Port Charlotte, Florida |
| Authorized Official Name and Position | Bonnie Russell (ADMINISTRATOR) |
| Authorized Official Contact | 9418897440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Asif Kamal Md Pa 21202 Olean Blvd Ste C6 Port Charlotte FL 33952-6771 Ph: (941) 889-7440 | Asif Kamal Md Pa 21202 Olean Blvd Ste C6 Port Charlotte FL 33952-6771 Ph: (941) 889-7440 |
| NPI Number | 1447678438 |
|---|---|
| Provider Enumeration Date | 04/07/2014 |
| Last Update Date | 08/06/2024 |
| Medicare PECOS PAC ID | 2668695875 |
|---|---|
| Medicare Enrollment ID | O20140515001225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447678438 | NPI | - | NPPES |
| ME71572 | Other | FL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME71572 (Florida) | Primary |
| Provider Name | Asif Kamal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235122953 PECOS PAC ID: 6800854449 Enrollment ID: I20041229000124 |
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