Provider Demographics
NPI:1710938097
Name:KAUL, ANUPAMA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANUPAMA
Middle Name:
Last Name:KAUL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 MALVERN AVE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71901-7759
Mailing Address - Country:US
Mailing Address - Phone:501-624-4700
Mailing Address - Fax:501-624-4705
Practice Address - Street 1:1900 MALVERN AVE
Practice Address - Street 2:SUITE 302
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-7759
Practice Address - Country:US
Practice Address - Phone:501-624-4700
Practice Address - Fax:501-624-4705
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2010-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY37424174400000X
ARE6520207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR183847001Medicaid
ARH77029Medicare UPIN
KY0620603Medicare ID - Type UnspecifiedMEDICARE ID
AR5AE77FO21Medicare PIN