Healthcare Provider Details

I. General information

NPI: 1194428714
Provider Name (Legal Business Name): NEHA KULKARNI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2023
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 WILLARD AVE
NEWINGTON CT
06111-1128
US

IV. Provider business mailing address

141 WILLARD AVE
NEWINGTON CT
06111-1128
US

V. Phone/Fax

Practice location:
  • Phone: 860-666-5601
  • Fax: 860-667-3909
Mailing address:
  • Phone: 860-666-5601
  • Fax: 860-667-3909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number86449
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: