Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 02005425A | IN |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 60218 | MN |
NPI | 1043507908 |
---|---|
Provider Name | Kartike Gulati |
First Address | Highland, IN 46322-3514 |
Second Address | Highland, IN 46322-3514 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2011 |
Last Update Date | 08/12/2021 |