Basic Information
| Provider Information | |||||||||
| NPI: | 1063418655 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KULKARNI | ||||||||
| FirstName: | ANAND | ||||||||
| MiddleName: | U | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 75 VERONICA AVE | ||||||||
| Address2: | SUITE 101 | ||||||||
| City: | SOMERSET | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 088735002 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7322477444 | ||||||||
| FaxNumber: | 7322475119 | ||||||||
| Practice Location | |||||||||
| Address1: | 75 VERONICA AVE | ||||||||
| Address2: | STE 101 | ||||||||
| City: | SOMERSET | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 088735002 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7322477444 | ||||||||
| FaxNumber: | 7322474519 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/28/2005 | ||||||||
| LastUpdateDate: | 03/13/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207UN0901X | 25MA05658000 | NJ | Y | Allopathic & Osteopathic Physicians | Nuclear Medicine | Nuclear Cardiology | 207RC0000X | 25MA05658000 | NJ | N | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | 6532608 | 05 | NJ | MEDICAID |