Basic Information
| Provider Information | |||||||||
| NPI: | 1184718215 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KAMAL | ||||||||
| FirstName: | BINDU | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1206 | ||||||||
| Address2: | |||||||||
| City: | GOLETA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 931161206 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8056825879 | ||||||||
| FaxNumber: | 8055634629 | ||||||||
| Practice Location | |||||||||
| Address1: | 1704 STATE STREET | ||||||||
| Address2: | |||||||||
| City: | SANTA BARBARA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 93101 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8056825879 | ||||||||
| FaxNumber: | 8055634629 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/03/2006 | ||||||||
| LastUpdateDate: | 09/01/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | A68308 | CA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RN0300X | A68308 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
ID Information
| ID | Type | State | Issuer | Description | 00A683080 | 05 | CA | MEDICAID | A68308 | 01 | CA | MEDICAL LICENSE | OTHER |