Provider Demographics
NPI:1043272685
Name:KULA, THOMAS ALEXANDER (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:ALEXANDER
Last Name:KULA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:555 KNOWLES DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-1549
Mailing Address - Country:US
Mailing Address - Phone:408-378-7240
Mailing Address - Fax:408-378-3849
Practice Address - Street 1:555 KNOWLES DR
Practice Address - Street 2:SUITE 201
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1549
Practice Address - Country:US
Practice Address - Phone:408-378-7240
Practice Address - Fax:408-378-3849
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-06
Last Update Date:2007-07-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG35070207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA48182Medicare UPIN