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NPI Code Detail

MEDICARE: DR. PRASHANT KAUL M.D.

MEDICARE: DR. PRASHANT KAUL 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
12084P0800XPsychiatry Physician258246NY

General Provider Information

NPI Number : 1740446574
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PRASHANT KAUL M.D.
Provider Business Mailing Address
First Line : 713 HARRISON ST
Second Line :
City : SYRACUSE
State : NY
Zip : 13210-2305
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 713 HARRISON ST
Second Line :
City : SYRACUSE
State : NY
Zip : 13210-2305
Country : US
Telephone Number : 315-396-2077
Fax Number : 315-464-3168
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2008
Last Update Date : 08/20/2010

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