Healthcare Provider Details

I. General information

NPI: 1063418655
Provider Name (Legal Business Name): ANAND U KULKARNI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2005
Last Update Date: 10/02/2024
Certification Date: 10/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 VERONICA AVE STE 101
SOMERSET NJ
08873-5002
US

IV. Provider business mailing address

379 CAMPUS DR FL 4
SOMERSET NJ
08873-1161
US

V. Phone/Fax

Practice location:
  • Phone: 732-247-7444
  • Fax: 732-247-4519
Mailing address:
  • Phone: 732-937-8939
  • Fax: 732-418-8372

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number25MA05658000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: