Provider Demographics
NPI:1437105756
Name:KAUL, HITESH (MD)
Entity Type:Individual
Prefix:DR
First Name:HITESH
Middle Name:
Last Name:KAUL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5501 OLD YORK RD
Mailing Address - Street 2:KORMAN SUITE 202
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19141-3018
Mailing Address - Country:US
Mailing Address - Phone:215-456-7700
Mailing Address - Fax:215-456-6312
Practice Address - Street 1:5401 OLD YORK RD
Practice Address - Street 2:KLEIN SUITE 505
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141-3030
Practice Address - Country:US
Practice Address - Phone:215-456-7700
Practice Address - Fax:215-456-6312
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME85588208600000X, 204F00000X
PAMD451438204F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLEW097ZOtherMEDICARE PTAN
FLEW097ZOtherMEDICARE PTAN