Basic Information
Provider Information
NPI: 1821292319
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KAMAL
FirstName: ABUL
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
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Mailing Information
Address1: 12924 RIDGEHAVEN RD
Address2:  
City: LITTLE ROCK
State: AR
PostalCode: 722112210
CountryCode: US
TelephoneNumber: 5016640300
FaxNumber:  
Practice Location
Address1: 2, SAINT VINCENT CIRCLE
Address2: SAINT VINCENT HOSPITAL, HOSPITALIST OFFICE
City: LITTLE ROCK
State: AR
PostalCode: 72205
CountryCode: US
TelephoneNumber: 5015524677
FaxNumber: 5015524555
Other Information
ProviderEnumerationDate: 06/11/2007
LastUpdateDate: 08/11/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000XE-6931ARY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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