Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 45708 | IA |
NPI | 1306265657 |
---|---|
Provider Name | Surabhi Kaul |
First Address | Mason City, IA 50401-5489 |
Second Address | Mason City, IA 50401-1525 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2014 |
Last Update Date | 20/04/2021 |