Healthcare Provider Details

I. General information

NPI: 1518498351
Provider Name (Legal Business Name): KRUPA DILIP KARNIK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2017
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14901 NATIONAL AVE STE 202
LOS GATOS CA
95032-2637
US

IV. Provider business mailing address

2168 EBBESEN AVE
SAN JOSE CA
95124-3413
US

V. Phone/Fax

Practice location:
  • Phone: 408-374-5340
  • Fax: 408-374-8922
Mailing address:
  • Phone: 702-606-0257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: