IndividualActive
Ayush Lacoul, MD
NPI 1336820364 · Pediatric Critical Care Medicine Physician · Philadelphia, PA
Provider details
- NPI number
- 1336820364
- Entity type
- Individual
- Primary specialty
- Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD480541 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone: (800) 879-2467
Approximate (ZIP-level) locationGet directions
Mailing address
3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Registry dates
- Enumerated
- 2023-07-31
- Last updated
- 2023-07-31
- Certified
- 2023-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.