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NPI Code Detail

MEDICARE: HIRA LAL KOUL MD

MEDICARE:   HIRA LAL KOUL  MD
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
1207RG0100XGastroenterology PhysicianMD037398LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11316985OTHERUMWA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720096118
Entity Type Code : Individual
Provider Name (Legal Business Name) : HIRA LAL KOUL MD
Provider Business Mailing Address
First Line : 970 FRANKLIN STREET
Second Line :
City : JOHNSTOWN
State : PA
Zip : 15905-4107
Country : US
Telephone Number : 814-535-1500
Fax Number : 814-536-5648
Provider Business Practice Location Address
First Line : 970 FRANKLIN STREET
Second Line :
City : JOHNSTOWN
State : PA
Zip : 15905-4107
Country : US
Telephone Number : 814-535-1500
Fax Number : 814-536-5648
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2006
Last Update Date : 07/08/2007

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Directions to “ HIRA LAL KOUL MD” Practice Location

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