| Khalid Kamal, MD, FAAP | |
|
1101 W University Dr, Rochester, MI 48307-1863 | |
| (248) 652-5331 | |
| (248) 652-5748 |
| Full Name | Khalid Kamal |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1101 W University Dr, Rochester, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669448783 | NPI | - | NPPES |
| 4732708 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 4301078454 (Michigan) | Primary |
| Entity Name | Henry Ford Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
| Entity Name | University Pediatricians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811920549 PECOS PAC ID: 9638070568 Enrollment ID: O20040115000125 |
| Entity Name | Ascension St John Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409 |
| Mailing Address | Practice Location Address |
|---|---|
| Khalid Kamal, MD, FAAP 75 Fabius Dr, Troy, MI 48098-3000 Ph: (248) 879-1117 | Khalid Kamal, MD, FAAP 1101 W University Dr, Rochester, MI 48307-1863 Ph: (248) 652-5331 |
Padmavathi Swaminathan Ganapathy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4986 N Adams Rd, Ste C, Rochester, MI 48306 Phone: 248-475-5601 Fax: 248-475-5632 | |
Dr. Renee Elizabeth Barrett, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1101 W University Dr Fl 2, Rochester, MI 48307 Phone: 248-652-5331 Fax: 248-652-5748 | |
Pamela Laura Cox, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4986 N Adams Rd, Suite C, Rochester, MI 48306 Phone: 248-475-5601 Fax: 248-475-5632 | |
Dr. Jared W Stark, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 455 S Livernois Rd, Ste C14, Rochester, MI 48307 Phone: 248-656-0070 Fax: 248-656-1963 | |
Dr. Justino M Zoma, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1135 W University Dr Ste 355, Rochester, MI 48307 Phone: 248-844-6030 Fax: 248-652-5726 | |
Dr. La Sharon Bobo Samuels, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4986 N Adams Rd, Suite C, Rochester, MI 48306 Phone: 248-475-5601 |