MK Kamel MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MK KAMEL MD INC

Practice address

804 Amherst Rd NE
Massillon, OH 44646-8525

Phone

(330) 837-5431

Fax

(330) 837-5459

NPI assigned

Oct 28, 2014

Organization subpart

No

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

Authorized official

Name

Anna Graber

Title

Office Manager

Phone

(330) 837-5431

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1770988172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 AMHERST RD NE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446468525",
            "telephone_number": "330-837-5431",
            "fax_number": "330-837-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 AMHERST RD NE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446468525",
            "telephone_number": "330-837-5431",
            "fax_number": "330-837-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MK KAMEL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-28",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "GRABER",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-837-5431"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0309857",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy R Miller Jr., LPN
• Lake Minor, COTA/L
• Ashley Mitchell
• Jiara M Mitchell
• Natalie M Mitzel, NP-C
• Ian Christopher Modd
• Patricia Modd
• Modern Health Alternatives, Inc.
• Victoria Mohn, CNP
• Sarah Suzanne Moldovan, STNA

• Internal Medicine Physician in Massillon, OH
• Providers in Massillon, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.