Healthcare Provider Details

I. General information

NPI: 1083939292
Provider Name (Legal Business Name): PREETI PRALHAD KULKARNI N.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2010
Last Update Date: 11/28/2020
Certification Date: 11/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 W EL CAMINO REAL STE 265
SUNNYVALE CA
94087-8127
US

IV. Provider business mailing address

333 W EL CAMINO REAL STE 265
SUNNYVALE CA
94087-8127
US

V. Phone/Fax

Practice location:
  • Phone: 669-248-3959
  • Fax: 408-663-5105
Mailing address:
  • Phone: 669-248-3959
  • Fax: 408-663-5105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code175L00000X
TaxonomyHomeopath
License Number
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND-284
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: