1457639528 NPI number — DR. RUPAK DILIP KULKARNI M.D

Table of content: ELI ANITA ARDRON LMFT (NPI 1114653110)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457639528 NPI number — DR. RUPAK DILIP KULKARNI M.D

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KULKARNI
Provider First Name:
RUPAK
Provider Middle Name:
DILIP
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1457639528
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/11/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
DIVISION OF TRANSPLANTATION DEPT OF SURGERY
Provider Second Line Business Mailing Address:
UF COLLEGE OF MEDICINE,1600 SW ARCHER RD,PO BOX 0118
Provider Business Mailing Address City Name:
GAINESVILLE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32610-0118
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
352-265-0606
Provider Business Mailing Address Fax Number:
352-265-0678

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6411 FANNIN ST # J1-400
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77030-1501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-500-7401
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/23/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 204F00000X , with the licence number:  TRN16195 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 204F00000X , with the licence number: U2907 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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