Basic Information
| Provider Information | |||||||||
| NPI: | 1528084175 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KULKARNI | ||||||||
| FirstName: | MALABIKA | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 3126 | ||||||||
| Address2: | |||||||||
| City: | PINEDALE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 936503126 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5594360871 | ||||||||
| FaxNumber: | 5594365221 | ||||||||
| Practice Location | |||||||||
| Address1: | 2900 EUREKA WAY | ||||||||
| Address2: | |||||||||
| City: | REDDING | ||||||||
| State: | CA | ||||||||
| PostalCode: | 960010220 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5302258715 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/15/2006 | ||||||||
| LastUpdateDate: | 10/21/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | A79003 | CA | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
ID Information
| ID | Type | State | Issuer | Description | ZZZ21365Z | 01 | CA | PPSC | OTHER | ZZZ15999Z | 01 | CA | MEMORIAL HOSPITAL | OTHER | ZZZ21367Z | 01 | CA | EMPIRE SURGERY CENTER | OTHER | ZZZ34009Z | 01 | CA | MERCY HOSPITAL | OTHER | ZZZ21366Z | 01 | CA | SWSC | OTHER | ZZZ15998Z | 01 | CA | MERCY SW HOSPITAL | OTHER |