Asif Kamal MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME71572 Issued in FL

Legal business name

ASIF KAMAL MD PA

Practice address

21202 Olean Blvd Ste C6
Port Charlotte, FL 33952-6771

Phone

(941) 889-7440

Fax

(941) 391-6089

NPI assigned

Apr 7, 2014

Last updated

Aug 6, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bonnie Russell

Title

Administrator

Phone

(941) 889-7440

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Asif F Kamal, MD

  • Internal Medicine Physician
  • Port Charlotte, FL
  • NPI 1235122953
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1447678438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21202 OLEAN BLVD STE C6",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526771",
            "telephone_number": "941-889-7440",
            "fax_number": "941-391-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21202 OLEAN BLVD STE C6",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526771",
            "telephone_number": "941-889-7440",
            "fax_number": "941-391-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASIF KAMAL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-07",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "941-889-7440"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME71572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "ME71572",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Arthur, CRNA, ARNP
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• Internal Medicine Physician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.