MEDICARE: DR. SANJEEV A KAUL M.D., MCH

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	208800000X	Urology Physician	4301082052	MI

General Provider Information

NPI Number	:	1447469242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SANJEEV A KAUL M.D., MCH

Provider Business Mailing Address
First Line	:	1447 N HARRISON ST
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48602-4727
Country	:	US
Telephone Number	:	989-583-0000
Fax Number	:

Provider Business Practice Location Address
First Line	:	3875 BAY RD STE 2S
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48603-2423
Country	:	US
Telephone Number	:	989-583-5370
Fax Number	:	989-583-1872

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

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	11/27/2023

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