Provider Demographics
NPI:1063513224
Name:KAMBAL, KHALID ALI (MB,BCH)
Entity type:Individual
Prefix:DR
First Name:KHALID
Middle Name:ALI
Last Name:KAMBAL
Suffix:
Gender:M
Credentials:MB,BCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1095 HIGHWAY 15 S
Mailing Address - Street 2:CANCER CENTER
Mailing Address - City:HUTCHINSON
Mailing Address - State:MN
Mailing Address - Zip Code:55350-5000
Mailing Address - Country:US
Mailing Address - Phone:320-484-4695
Mailing Address - Fax:320-234-3036
Practice Address - Street 1:1095 HIGHWAY 15 S
Practice Address - Street 2:CANCER CENTER
Practice Address - City:HUTCHINSON
Practice Address - State:MN
Practice Address - Zip Code:55350-5000
Practice Address - Country:US
Practice Address - Phone:320-484-4695
Practice Address - Fax:320-234-3036
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101235242207RH0003X
KY42603207RH0003X
MN53593207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology