Provider Demographics
NPI:1538154042
Name:KAUL, KULDIP KUMAR (MD)
Entity type:Individual
Prefix:DR
First Name:KULDIP
Middle Name:KUMAR
Last Name:KAUL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2060 SPACE PARK DR
Mailing Address - Street 2:STE 400
Mailing Address - City:NASSAU BAY
Mailing Address - State:TX
Mailing Address - Zip Code:77058
Mailing Address - Country:US
Mailing Address - Phone:281-333-2812
Mailing Address - Fax:281-333-5072
Practice Address - Street 1:2060 SPACE PARK DR
Practice Address - Street 2:STE 400
Practice Address - City:NASSAU BAY
Practice Address - State:TX
Practice Address - Zip Code:77058
Practice Address - Country:US
Practice Address - Phone:281-333-2812
Practice Address - Fax:281-333-5072
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-12
Last Update Date:2009-11-12
Deactivation Date:2006-03-22
Deactivation Code:
Reactivation Date:2006-04-13
Provider Licenses
StateLicense IDTaxonomies
TXG1452207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX098514501Medicaid
TX00G575Medicare PIN
TXB23862Medicare UPIN