Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | MD035143 | DC |
NPI | 1073503355 |
---|---|
Provider Name | Dr. Kanchan Pandurang Kulkarni |
First Address | Calverton, MD 20705 |
Second Address | Calverton, MD 20705 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2005 |
Last Update Date | 19/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
101651037 | (05) | PA |
I20861 | (02) |