KAMRAN GHALILI (NPI# 1417977166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417977166 |
| Entity Type | Individual |
| Full Name | KAMRAN GHALILI |
| Credential | MD |
| Practice Address |
610 Hawthorne Ave Se Ste 110 Salem OR 97301 |
| Mailing Address |
Po Box 886 Salem OR 97308-0886 |
| Practice Telephone | 5038144440 |
| Practice Fax Number | 5038144444 |
| Mailing Telephone | 5038144440 |
| Mailing Fax Number | 5038144444 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2018-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD26864 | OR | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
MD26864 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | MEDICARE | R152645 | 01 |
| OR | 28417 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 665 Winter St Se Ste B0350, Salem, OR 973013934 | 5038144440 | 5038144444 |
| Street Address |
610 HAWTHORNE AVE SE STE 110 |
| City | SALEM |
| State | OR |
| Zip Code | 97301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619949401 | Deborah A Hughes | Internal Medicine | 610 Hawthorne Ave Se Ste 110, Salem, OR 97301 | 2006-02-06 |
| 1447898226 | Katelyn Williams | Registered Nurse | 610 Hawthorne Ave Se Ste 110, Salem, OR 97301-5378 | 2019-12-12 |
| 1255800850 | Peter Woodring | Nurse Practitioner | 610 Hawthorne Ave Se Ste 110, Salem, OR 97301-5378 | 2018-11-13 |
| 1831681618 | Ryan Hermansen | Physician Assistant | 610 Hawthorne Ave Se Ste 110, Salem, OR 97301-5378 | 2018-06-06 |
| 1902138969 | Oregon Heart Center PC | Internal Medicine | 610 Hawthorne Ave Se Ste 110, Salem, OR 97301 | 2010-02-02 |
| 1861695165 | Hrishikesh S Iyengar | Internal Medicine | 610 Hawthorne Ave Se Ste 110, Salem, OR 97301 | 2007-06-06 |
| 1164587119 | Kevin H Thompson | Internal Medicine | 610 Hawthorne Ave Se Ste 110, Salem, OR 97301 | 2006-12-27 |
| 1235225624 | Matthew C Fedor | Internal Medicine | 610 Hawthorne Ave Se Ste 110, Salem, OR 97301 | 2006-10-05 |
| 1679685101 | Sandeep Ajoy Saha | Internal Medicine | 610 Hawthorne Ave Se Ste 110, Salem, OR 97301 | 2006-08-31 |
| 1962434498 | Barath Nmi Krishnamurthy | Internal Medicine | 610 Hawthorne Ave Se Ste 110, Salem, OR 97301 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568699932 | Arjun K. Chagarlamudi | Internal Medicine | 777 Commercial St. Se, Suite 130, Salem, OR 97301 | 2009-06-12 |
| 1922076546 | Kirk William Walker | Internal Medicine | 777 Commercial St Se, Suite 130, Salem, OR 97301-3421 | 2006-03-09 |
| 1619949401 | Deborah A Hughes | Internal Medicine | 610 Hawthorne Ave Se Ste 110, Salem, OR 97301 | 2006-02-06 |
| 1265433866 | Richard Alan Wilson | Internal Medicine | 885 Mission Street Se, Salem, OR 97302 | 2005-08-03 |
| 1659372407 | Raghunandan Kamineni | Internal Medicine | 665 Winter St Se, Suite B0350, Salem, OR 97301-3934 | 2005-08-02 |
| 1710988696 | Daniel James Bailly | Internal Medicine | 885 Mission St Se, Salem, OR 97302-6222 | 2005-08-02 |
| 1457352296 | James Philip Lowry | Internal Medicine | 875 Oak St Se Bldg C, Salem, OR 97301-3975 | 2005-08-02 |
| 1306102595 | Ryan James Connolly | Internal Medicine | 81 Highland Ave, Salem, MA 01970 | 2012-04-02 |
| 1447564422 | Southwest Virginia Cardiology PC | Internal Medicine | 2850 Keagy Rd, Salem, VA 24153-7458 | 2010-08-02 |
| 1932411485 | Oluwadamilola F Ojutalayo | Internal Medicine | 81 Highland Ave, Salem, MA 01970 | 2010-07-12 |
| Find all providers in SALEM | ||||
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| 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.