Gulati, Prem Kumar

Gulati, Prem Kumar is an individual health care provider with primary practice located at 1868 Sparkman Dr Nw , Huntsville AL 35816-1122. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Gulati, Prem Kumar can be contacted via phone (256) 721-9916.

Contact Information

Primary practice address
1868 Sparkman Dr Nw Huntsville AL 35816-1122
Phone: (256) 721-9916
Fax: (256) 721-9973
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 00010377 Alabama

Profile Details

NPI number 1477547149
LBN Legal business name Gulati, Prem Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477547149 NPPES
Alabama Other 631287696 PROVIDER TAX ID
Alabama MEDICAID 051506668 PROVIDER TAX ID
Alabama MEDICAID 009912735 PROVIDER TAX ID
Alabama Other 51509746 PROVIDER TAX ID

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