KAMALJIT K ATWAL


Address: 10201 Se Main St, Suite 11, Portland, OR 97216-2937
Phone: 5032532248

KAMALJIT K ATWAL (NPI# 1821053356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821053356
Entity Type Individual
Full Name KAMALJIT K ATWAL
Credential DO
Practice Address 10201 Se Main St
Suite 11
Portland
OR 97216-2937
Mailing Address Po Box 92900
Portland
OR 97292-0900
Practice Telephone 5032532248
Practice Fax Number 5032525166
Enumeration Date 2006-04-18
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
DO19518 OR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA 8295396 05
OR 287497 05

Office Location

Street Address 10201 SE MAIN ST
SUITE 11
City PORTLAND
State OR
Zip Code 97216-2937

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598757452 Samuel Albert Camacho Internal Medicine 10201 Se Main St, Suite 10, Portland, OR 97216-2937 2005-08-17
1316339229 Jenna Clowers Physician Assistant 10201 Se Main St, Suite 9, Portland, OR 97216-2937 2015-03-02
1861700130 Northwest Renal Clinic, Inc. Internal Medicine 10201 Se Main St, Suite 27, Portland, OR 97216-2937 2010-09-20
1881919348 Macy Ann Martinson Internal Medicine 10201 Se Main St, Suite 27, Portland, OR 97216-2937 2010-03-28
1215261920 Ninfa Johnson Neuser Counselor 10201 Se Main St, Ste 10, Portland, OR 97216-2937 2009-09-28
1881851368 Aumyot Prongdong Internal Medicine 10201 Se Main St, Suite 27, Portland, OR 97216-2937 2008-05-21
1205958576 Vanessa L Peterson Internal Medicine 10201 Se Main St, Portland Lung Clinic, Portland, OR 97216-2937 2007-04-05
1477617512 Kevin Khaw Internal Medicine 10201 Se Main St, Suite 25, Portland, OR 97216-2937 2006-12-21
1912079500 Leonard R Bertheau Family Medicine 10201 Se Main St, Suite 10, Portland, OR 97216-2937 2006-11-15
1043318405 Jeffrey Aaron Komisarof Internal Medicine 10201 Se Main St, Suite 27, Portland, OR 97216-2937 2006-09-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316468341 Accident Care Chiropractic and Massage of Salem Clinic/Center 2168 Lancaster Dr. Ne, Portland, OR 97216 2017-06-29
1528508520 Damone Brown Peer Specialist 10209 Se Washington St, Suite D, Portland, OR 97216 2017-02-24
1861937237 Malachai Investments LLC Clinical Medical Laboratory 10,000 Se Main St, Ste 360, Portland, OR 97216 2016-12-21
1881136836 Krista Marie Darnell Occupational Therapy Assistant 1475, Se 100th Avenue, Portland, OR 97216 2016-11-08
1821456559 Sean Kelly Counselor 10564 Se Washington Street, Portland, OR 97216 2016-02-09
1174908321 Phil Bergland Counselor 11220 Se Stark St, Suite 6, Portland, OR 97216 2015-07-29
1134507346 Beth Lopez Massage Therapist 5814 Se Stark Street, Portland, OR 97216 2015-05-08
1982081477 Amelia C Hunt Counselor 10564 Se Washinton Street, Portland, OR 97216 2015-05-04
1073907978 Karen Ta Emergency Medicine 10300 Se Main St, Portland, OR 97216 2015-03-27
1265823298 Laura Catherine Anderson Occupational Therapist 1475 Se 100th Avenue, Portland, OR 97216 2015-02-12
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750648432 Robert Dreisin Internal Medicine 6350 Sw Burlingame Ave, Portland, OR 97239-2635 2012-04-18
1962645549 Elham Karamooz Internal Medicine Ohsu, 3181 Sw Sam Jackson Park Road, Portland, OR 97239 2009-04-13
1831368554 Ohsu Medical Group Internal Medicine 2115 Sw River Pkwy, Portland, OR 97201-8024 2008-02-27
1184824351 Rick Balestra Internal Medicine 1111 Ne 99th Ave Ste 200, Portland, OR 97220-9442 2007-07-24
1316920564 Sumangala F Huded Internal Medicine 78 Marlborough St, Portland, CT 06480-4801 2005-11-22
1124020987 Asha Narasimhan Chesnutt Internal Medicine 9427 Sw Barnes Rd Ste 296, Portland, OR 97225-6667 2005-08-11
1376954156 Crystal Ann Duran Internal Medicine 9427 Sw Barnes Rd Ste 296, Portland, OR 97225-6667 2014-05-14
1427476159 Robert Gerard Wheeler Internal Medicine 9427 Sw Barnes Rd Ste 296, Portland, OR 97225-6667 2014-03-31
1992065080 Mainehealth Internal Medicine 22 Bramhall St, Portland, ME 04102 2012-05-22
1962778902 Matthew Champion Internal Medicine 2222 Nw Lovejoy St Ste 411, Portland, OR 97210-5102 2012-03-23
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Competitor

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City PORTLAND
Zip Code 97216

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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