Provider Demographics
NPI:1699731984
Name:KAUL, PAMPOSH DARBARI (MD)
Entity type:Individual
Prefix:
First Name:PAMPOSH
Middle Name:DARBARI
Last Name:KAUL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 ALBERT SABIN WAY
Mailing Address - Street 2:ML 0560
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45267-0560
Mailing Address - Country:US
Mailing Address - Phone:513-584-6977
Mailing Address - Fax:513-558-2089
Practice Address - Street 1:231 ALBERT SABIN WAY
Practice Address - Street 2:ML 0560
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45267-0560
Practice Address - Country:US
Practice Address - Phone:513-584-6977
Practice Address - Fax:513-558-2089
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-072261207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2023689Medicaid
TN4047744Medicaid
OH440003699OtherRAIL ROAD MEDICARE
IN200141780Medicaid
KY64955529Medicaid
OH2023689Medicaid
TN4047744Medicaid
KY64955529Medicaid