Provider Demographics
NPI:1831194513
Name:KAUL, TEJ N (MD)
Entity type:Individual
Prefix:DR
First Name:TEJ
Middle Name:N
Last Name:KAUL
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 1:6937 WILLIAMS RD
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14304-3022
Mailing Address - Country:US
Mailing Address - Phone:716-298-1107
Mailing Address - Fax:716-298-5737
Practice Address - Street 1:6937 WILLIAMS RD
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14304-3022
Practice Address - Country:US
Practice Address - Phone:716-298-1107
Practice Address - Fax:716-298-5737
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2007-08-24
Deactivation Date:2006-03-20
Deactivation Code:
Reactivation Date:2006-03-29
Provider Licenses
StateLicense IDTaxonomies
NY166453208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000510007002OtherBLUE CROSS WNY
NY00010088506OtherUNIVERA HEALTHCARE
NY00961582Medicaid
NY1203364OtherINDEPENDENT HEALTH
NY00010088506OtherUNIVERA HEALTHCARE