Basic Information
| Provider Information | |||||||||
| NPI: | 1649458977 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KAMAL | ||||||||
| FirstName: | SAMER | ||||||||
| MiddleName: | MAHDI | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2830 E PERSHING CT | ||||||||
| Address2: | |||||||||
| City: | VISALIA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 932923166 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9145743175 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1100 S AKERS ST | ||||||||
| Address2: | KAWEAH DELTA MENTAL HOSPITAL | ||||||||
| City: | VISALIA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 932778311 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5596243300 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/08/2008 | ||||||||
| LastUpdateDate: | 01/06/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | A121370 | CA | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.