Basic Information
| Provider Information | |||||||||
| NPI: | 1629383211 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KEMAL | ||||||||
| FirstName: | NEJMUDIN | ||||||||
| MiddleName: | RESHAD | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6620 MAIN ST DEPT OF | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770302348 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7137982500 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1425 PORTLAND AVENUE | ||||||||
| Address2: | DEPARTMENT OF MEDICINE, ROCHESTER GENERAL HOSPITAL | ||||||||
| City: | ROCHESTER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 14621 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5859225067 | ||||||||
| FaxNumber: | 5859222908 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/08/2010 | ||||||||
| LastUpdateDate: | 11/15/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/15/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 270526 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | Q5003 | TX | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 270526 | NY | N | Allopathic & Osteopathic Physicians | Hospitalist | 208M00000X | Q5003 | TX | Y | Allopathic & Osteopathic Physicians | Hospitalist |
ID Information
| ID | Type | State | Issuer | Description | 01131126/RGH | 05 | NY | MEDICAID | 03613009 | 05 | NY | MEDICAID | 03007063/NWK | 05 | NY | MEDICAID |