Provider Demographics
NPI:1154159028
Name:KAMIL EAR, NOSE, AND THROAT, LLC
Entity type:Organization
Organization Name:KAMIL EAR, NOSE, AND THROAT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:JUNE
Authorized Official - Last Name:KAMIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-307-5050
Mailing Address - Street 1:11119 ROCKVILLE PIKE STE 320
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3143
Mailing Address - Country:US
Mailing Address - Phone:301-307-5050
Mailing Address - Fax:
Practice Address - Street 1:11119 ROCKVILLE PIKE STE 320
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3143
Practice Address - Country:US
Practice Address - Phone:301-307-5050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty