Provider Demographics
NPI:1265415095
Name:KAMEL, MOHAMED S (MD)
Entity type:Individual
Prefix:DR
First Name:MOHAMED
Middle Name:S
Last Name:KAMEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 366
Mailing Address - Street 2:
Mailing Address - City:LUDLOW
Mailing Address - State:MA
Mailing Address - Zip Code:01056-0366
Mailing Address - Country:US
Mailing Address - Phone:413-585-5703
Mailing Address - Fax:413-585-1043
Practice Address - Street 1:51 LOCUST ST
Practice Address - Street 2:SUITE 3
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-2045
Practice Address - Country:US
Practice Address - Phone:413-585-5703
Practice Address - Fax:413-585-1043
Is Sole Proprietor?:No
Enumeration Date:2005-11-25
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA73178207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110052632BMedicaid
MA3106233Medicaid
MA3106233Medicaid
MAJ13495OtherBLUE CROSS
MAJ13495Medicare PIN