Individual
MANEKA KAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7905 CALUMET AVE, MUNSTER, IN 46321-2549
(219) 836-5800
(219) 836-5030
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01071679A
IN
207QS1201X
Sleep Medicine (Family Medicine) Physician
01071679A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201115740
—
IN
01
—
M100047140
GROUP MEDICARE PTAN
IN
Enumeration date
07/20/2005
Last updated
10/09/2023
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