1073645701 NPI number — MS. ARCHANA NARAYAN KULKARNI LCSW

Table of content: MS. ARCHANA NARAYAN KULKARNI LCSW (NPI 1073645701)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073645701 NPI number — MS. ARCHANA NARAYAN KULKARNI LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KULKARNI
Provider First Name:
ARCHANA
Provider Middle Name:
NARAYAN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
RAMAN
Provider Other First Name:
ARCHANA
Provider Other Middle Name:
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1073645701
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/24/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3490 THE ALAMEDA
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SANTA CLARA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95050-4333
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
408-243-0222
Provider Business Mailing Address Fax Number:
408-289-1140

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2542 S BASCOM AVE
Provider Second Line Business Practice Location Address:
SUITE 255
Provider Business Practice Location Address City Name:
CAMPBELL
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95008-5526
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
408-768-1841
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/09/2007

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: 1041C0700X , with the licence number:  19177 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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