Individual
KOMAL KAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1800 E LAKE SHORE DR, DECATUR, IL 62521-3810
(217) 464-1157
(217) 464-1169
Mailing address
1800 E LAKE SHORE DR, DECATUR, IL 62521-3810
(217) 464-1157
(217) 464-1169
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036130410
IL
207R00000X
Internal Medicine Physician
MD456102
PA
208M00000X
Hospitalist Physician
036130410
IL
Other
Enumeration date
09/14/2010
Last updated
09/01/2022
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