Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 0101840419 | VA |
NPI | 1003884081 |
---|---|
Provider Name | Alisan G Kula |
First Address | Gainesville, VA 20155-3257 |
Second Address | Gainesville, VA 20155-3257 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2006 |
Last Update Date | 13/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0870-0013 | BCBS NCA/CARE FIRST (01) | VA |
1003884081 | (05) | VA |
223803 | KAISER (01) | VA |
284763 | TRIGON/ANTHEM (01) | VA |
3000041 | UNITED HEALTHCARE (01) | VA |
316256-269606 | MAMSI/OP CHOICE/ALLIANCE (01) | VA |
500617-2214436 | AETNA HMO (01) | VA |
500617-5975777 | AETNA PPO (01) | VA |
504736 | NCPPO (01) | VA |
541795091 | FIRST HEALTH (01) | VA |
541795091 | FX CTY COMM HEALTH (01) | VA |
541795091 | PHCS PPO/POS (01) | VA |
541795091 | TRICARE (01) | VA |
8522674001 | CIGNA POS/PPO (01) | VA |
8522674002 | CIGNA HMO (01) | VA |
G93197 | (02) | VA |