Provider Demographics
NPI:1497744452
Name:KUHLMAN, CHAD G (MD)
Entity Type:Individual
Prefix:
First Name:CHAD
Middle Name:G
Last Name:KUHLMAN
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:PO BOX 3157
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46206-3157
Mailing Address - Country:US
Mailing Address - Phone:855-871-1526
Mailing Address - Fax:855-277-8543
Practice Address - Street 1:790 CHURCH ST NE
Practice Address - Street 2:STE 400
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-7282
Practice Address - Country:US
Practice Address - Phone:770-952-8899
Practice Address - Fax:678-581-3680
Is Sole Proprietor?:No
Enumeration Date:2005-10-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ326082085R0202X
GA0527672085R0202X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA30BDMZNOtherMEDICARE PTAN
AZ81216OtherVRL
GA225428377OtherMEDICAID BASE #
AZ868284Medicaid
GA30BDMZNOtherMEDICARE PTAN