Kamelmaz, Izzeddin
Kamelmaz, Izzeddin is an individual health care provider with primary practice located at 2100 Highway 61 N , Vicksburg MS 39183-8211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kamelmaz, Izzeddin can be contacted via phone (601) 883-6001.Contact Information
Primary practice address
2100 Highway 61 N
Vicksburg MS 39183-8211
Phone: (601) 883-6001
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 22462 | Alabama |
Profile Details
| NPI number | 1346344421 |
|---|---|
| LBN Legal business name | Kamelmaz, Izzeddin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2006 |
| Last updated | Sep 11th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346344421 | NPPES |
| Alabama | Other | 051092816 | BCBS |
| Alabama | Other | 20947 | BCBS |
| Alabama | MEDICAID | 000092816 | BCBS |
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