Individual
DR. KAMLESH KAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
915 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1443
(765) 463-2424
(765) 463-2249
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
01054667A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000588206
ANTHEM
IN
01
—
000000604157
ANTHEM
IN
01
—
000000623476
ANTHEM PROVIDER NUMBER
IN
01
—
113732
ANTHEM MEDICAID
IN
01
—
1267659
CIGNA
IN
05
—
200341200
—
IN
01
—
P00668323
RR MEDICARE
IN
Enumeration date
09/01/2005
Last updated
05/05/2023
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