Basic Information
| Provider Information | |||||||||
| NPI: | 1417931262 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KAMAL | ||||||||
| FirstName: | ZEBA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 8471 GULF FWY | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770175001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8327092770 | ||||||||
| FaxNumber: | 8329240113 | ||||||||
| Practice Location | |||||||||
| Address1: | 8471 GULF FWY | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770175001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8327092770 | ||||||||
| FaxNumber: | 8329240113 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/05/2005 | ||||||||
| LastUpdateDate: | 04/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| AuthorizedOfficialTitleorPosition: | |||||||||
| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| AuthorizedOfficialNamePrefix: | |||||||||
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| AuthorizedOfficialCredential: | |||||||||
| NPICertificationDate: | 04/21/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | L1625 | TX | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 147112008 | 05 | TX | MEDICAID | 147112010 | 05 | TX | MEDICAID | 147112002 | 05 | TX | MEDICAID | 147112009 | 05 | TX | MEDICAID | 147112011 | 05 | TX | MEDICAID | 8G3301 | 01 | TX | BLUE CROSS BLUE SHIELD | OTHER | 147112007 | 05 | TX | MEDICAID | 147112012 | 05 | TX | MEDICAID | 147112003 | 05 | TX | MEDICAID | 147112006 | 05 | TX | MEDICAID | 147112001 | 05 | TX | MEDICAID | 147112005 | 05 | TX | MEDICAID | 147112004 | 05 | TX | MEDICAID |