Provider Demographics
NPI:1174807770
Name:KAMEL, MOHAMED IBRAHIM MOHAMED F (DR (PHD))
Entity type:Individual
Prefix:DR
First Name:MOHAMED
Middle Name:IBRAHIM MOHAMED F
Last Name:KAMEL
Suffix:
Gender:M
Credentials:DR (PHD)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:469 7TH AVE STE 327
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-7605
Mailing Address - Country:US
Mailing Address - Phone:347-338-9033
Mailing Address - Fax:
Practice Address - Street 1:469 7TH AVE STE 327
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-7605
Practice Address - Country:US
Practice Address - Phone:347-338-9033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-01
Last Update Date:2011-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030698225100000X
IL070017334225100000X
TX1196329225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist