Aziz Kamali Md Inc | |
1947 N California St Ste A Stockton CA 95204-6029 | |
(209) 478-5533 | |
(209) 475-0187 |
Full Name | Aziz Kamali Md Inc |
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Speciality | Internal Medicine |
Location | 1947 N California St Ste A, Stockton, California |
Authorized Official Name and Position | Aziz Kamali (CEO) |
Authorized Official Contact | 2094750179 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Aziz Kamali Md Inc 1947 N California St Ste A Stockton CA 95204-6029 Ph: (209) 478-5533 | Aziz Kamali Md Inc 1947 N California St Ste A Stockton CA 95204-6029 Ph: (209) 478-5533 |
NPI Number | 1003979337 |
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Provider Enumeration Date | 12/18/2006 |
Last Update Date | 09/23/2024 |
Medicare PECOS PAC ID | 6507943842 |
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Medicare Enrollment ID | O20080410000318 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003979337 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
Provider Name | Aziz Kamali |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306923883 PECOS PAC ID: 4880771120 Enrollment ID: I20080410000304 |
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