Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 076755 | GA |
NPI | 1104830181 |
---|---|
Provider Name | Mrs. Mala Shaykher Kaul |
First Address | Atlanta, GA 30309-1764 |
Second Address | Atlanta, GA 30309-1764 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2006 |
Last Update Date | 24/10/2016 |