MEDICARE: ADITYA BHASKAR PULIKAL M.D., J.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	T2724	TX
2	2084P2900X	Pain Medicine (Psychiatry & Neurology) Physician	T2724	TX
3	208VP0000X	Pain Medicine Physician	T2724	TX

General Provider Information

NPI Number	:	1285993832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADITYA BHASKAR PULIKAL M.D., J.D.

Provider Business Mailing Address
First Line	:	7700 CAT HOLLOW DR STE 203
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-5799
Country	:	US
Telephone Number	:	512-734-8060
Fax Number	:	512-859-6684

Provider Business Practice Location Address
First Line	:	7700 CAT HOLLOW DR STE 203
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-5799
Country	:	US
Telephone Number	:	512-734-8060
Fax Number	:	512-859-6684

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2012
Last Update Date	:	07/25/2025

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