Provider Demographics
NPI:1588723597
Name:KAMRAN CARDIOLOGY LLC
Entity type:Organization
Organization Name:KAMRAN CARDIOLOGY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMRAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-238-1154
Mailing Address - Street 1:601 LEIGHTON AVE
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36207-5743
Mailing Address - Country:US
Mailing Address - Phone:256-240-2427
Mailing Address - Fax:256-237-5033
Practice Address - Street 1:601 LEIGHTON AVE
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207-5743
Practice Address - Country:US
Practice Address - Phone:256-240-2427
Practice Address - Fax:256-237-5033
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MOHAMMAD KAMRAN MD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-12-06
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL18732207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALF06262Medicare UPIN
ALK006Medicare ID - Type UnspecifiedMEDICARE GROUP CHF