Provider Demographics
NPI:1336194950
Name:KAUL, KALPNA (MD)
Entity Type:Individual
Prefix:DR
First Name:KALPNA
Middle Name:
Last Name:KAUL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 SW 89TH STREET
Mailing Address - Street 2:SUITE D 300
Mailing Address - City:OKLAHOMA
Mailing Address - State:OK
Mailing Address - Zip Code:73159-6384
Mailing Address - Country:US
Mailing Address - Phone:405-682-4489
Mailing Address - Fax:405-682-4418
Practice Address - Street 1:1601 SW 89TH STREET
Practice Address - Street 2:SUITE D 300
Practice Address - City:OKLAHOMA
Practice Address - State:OK
Practice Address - Zip Code:73159-6384
Practice Address - Country:US
Practice Address - Phone:405-682-4489
Practice Address - Fax:405-682-4418
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK11968208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100192410BMedicaid