Doctor Name: | DR. ANIL JOSEPH KULANGARA |
NPI Number: | 1326331521 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 27171 |
Business Practice Address: | 1650 Cochrane Cir Evans Army Community Hospital Fort Carson, CO - 809134604 |
Business Phone Number: | 7195262092 |
Business Fax Number: | 7195267732 |
Mailing Address: | 1650 Cochrane Cir, Evans Army Community Hospital FORT CARSON |
State: | CO |
Postal Code: | 809134604 |
Phone Number: | 7195262092 |
Fax Number: | 7195267732 |
NPI Enumeration Date: | 05/20/2011 |
NPI Last Update Date: | 08/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 27171 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |