Provider Demographics
NPI:1689653107
Name:KAUL, ADAM THOMAS (MD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:THOMAS
Last Name:KAUL
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:13354 MIDLOTHIAN TPKE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-4258
Mailing Address - Country:US
Mailing Address - Phone:804-794-2444
Mailing Address - Fax:804-794-6061
Practice Address - Street 1:13354 MIDLOTHIAN TPKE
Practice Address - Street 2:SUITE 100
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113-4258
Practice Address - Country:US
Practice Address - Phone:804-794-2444
Practice Address - Fax:804-794-6061
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA01010579752084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA7105550Medicaid
VA7105550Medicaid