Provider Demographics
NPI:1801186044
Name:KAULAS, HIMANSHU UDAY (MD)
Entity Type:Individual
Prefix:DR
First Name:HIMANSHU
Middle Name:UDAY
Last Name:KAULAS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1465 S GRAND BLVD
Mailing Address - Street 2:1204
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63104-1003
Mailing Address - Country:US
Mailing Address - Phone:314-577-5634
Mailing Address - Fax:314-577-5616
Practice Address - Street 1:1465 S GRAND BLVD
Practice Address - Street 2:1204
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63104-1003
Practice Address - Country:US
Practice Address - Phone:314-577-5634
Practice Address - Fax:314-577-5616
Is Sole Proprietor?:No
Enumeration Date:2011-04-08
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO20170111042084N0402X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program