Healthcare Provider Details

I. General information

NPI: 1588045140
Provider Name (Legal Business Name): RITIKA KAULA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2015
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1287 FULTON RD
SANTA ROSA CA
95401-4923
US

IV. Provider business mailing address

1450 W LONG LAKE RD STE 340
TROY MI
48098-6330
US

V. Phone/Fax

Practice location:
  • Phone: 707-800-7700
  • Fax:
Mailing address:
  • Phone: 248-905-5091
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA156063
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberA156063
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: