Individual
CHAD G KUHLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
790 CHURCH ST NE, STE 400, MARIETTA, GA 30060-7282
(770) 952-8899
(678) 581-3680
Mailing address
PO BOX 3157, INDIANAPOLIS, IN 46206-3157
(855) 871-1526
(855) 277-8543
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
052767
GA
2085R0202X
Diagnostic Radiology Physician
32608
AZ
2085R0204X
Vascular & Interventional Radiology Physician
Primary
052767
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225428377
MEDICAID BASE #
GA
01
—
30BDMZN
MEDICARE PTAN
GA
01
—
81216
VRL
AZ
05
—
868284
—
AZ
Enumeration date
10/20/2005
Last updated
11/20/2023
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