Provider Demographics
NPI:1104830181
Name:KAUL, MALA SHAYKHER (MD)
Entity Type:Individual
Prefix:MRS
First Name:MALA
Middle Name:SHAYKHER
Last Name:KAUL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:77 COLLIER RD NW
Mailing Address - Street 2:SUITE 2080
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1764
Mailing Address - Country:US
Mailing Address - Phone:404-367-3350
Mailing Address - Fax:770-916-7602
Practice Address - Street 1:77 COLLIER RD NW
Practice Address - Street 2:SUITE 2080
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1764
Practice Address - Country:US
Practice Address - Phone:404-367-3350
Practice Address - Fax:770-916-7602
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2016-10-24
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Provider Licenses
StateLicense IDTaxonomies
GA076755207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
I64672Medicare UPIN
NC2006-01295OtherLICENSE NUMBER
NC5905224Medicaid
NC2058834Medicare PIN