MEDICARE: DR. AMIT 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
1	208600000X	Surgery Physician	R72578	AZ

General Provider Information

NPI Number	:	1952698029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMIT KAUL M.D.

Provider Business Mailing Address
First Line	:	1745 E GLENN ST
Second Line	:	APT # 220
City	:	TUCSON
State	:	AZ
Zip	:	85719-2740
Country	:	US
Telephone Number	:	520-626-2635
Fax Number	:	520-626-9226

Provider Business Practice Location Address
First Line	:	1501 N CAMPBELL AVE
Second Line	:	ROOM NUMBER 4325
City	:	TUCSON
State	:	AZ
Zip	:	85724-5066
Country	:	US
Telephone Number	:	520-626-2635
Fax Number	:	520-626-9226

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

Provider Enumeration Date	:	07/08/2011
Last Update Date	:	07/08/2011

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