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Individual

MOTI L KOUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4467 OLD BRANCH AVE, STE 203, TEMPLE HILLS, MD 20748-1854
(301) 899-1212
Mailing address
4206 KIMBRELEE CT, ALEXANDRIA, VA 22309-3000
(703) 799-0385

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
D24020
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
79447-1300
MD
Enumeration date
06/22/2005
Last updated
09/26/2008
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