Individual ProviderSufiyan KamalStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice AddressUniversity Of Texas Health Science Center At Tyler, 11937 U.S. Hwy. 271, Tyler, TX 75708(903) 877-7200PECOS EnrollmentBased on the most recent information from CMS, provider Sufiyan Kamal is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1649019845Provider TypeIndividualFull NameKamal, SufiyanCredentialMDGenderMaleSole ProprietorYesEnumeration Date5/20/2024Last Updated5/20/2024Contact InformationPractice LocationPractice AddressUniversity Of Texas Health Science Center At Tyler, 11937 U.S. Hwy. 271, Tyler, TX 75708Phone(903) 877-7200FaxUnlisted FaxMailing LocationMailing AddressUniversity Of Texas Health Science Center At Tyler, 11937 U.S. Hwy. 271, Tyler, TX 75708Phone(903) 877-7200FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseBP10090395Texas