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NPI Code Detail

MEDICARE: DR. ZBIGNIEW JAN KULA M.D.

MEDICARE: DR. ZBIGNIEW JAN KULA M.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
1207V00000XObstetrics & Gynecology PhysicianE2439AR

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
25U594OTHERMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386648954
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ZBIGNIEW JAN KULA M.D.
Provider Business Mailing Address
First Line : PO BOX H
Second Line :
City : CROSSETT
State : AR
Zip : 71635-1808
Country : US
Telephone Number : 870-364-3474
Fax Number : 870-304-2156
Provider Business Practice Location Address
First Line : 1003 FRED LAGRONE DR
Second Line :
City : CROSSETT
State : AR
Zip : 71635-4546
Country : US
Telephone Number : 870-364-3474
Fax Number : 870-364-3811
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2005
Last Update Date : 08/17/2011

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