Healthcare Provider Details

I. General information

NPI: 1912996679
Provider Name (Legal Business Name): APARNA P. KULKARNI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2005
Last Update Date: 04/26/2021
Certification Date: 04/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 SUNSET BLVD
HOUSTON TX
77005-1713
US

IV. Provider business mailing address

PO BOX 4767
HOUSTON TX
77210-4767
US

V. Phone/Fax

Practice location:
  • Phone: 713-526-5511
  • Fax: 713-520-4971
Mailing address:
  • Phone: 713-526-5511
  • Fax: 713-520-4971

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberK6770
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number52877
License Number StateMT
# 3
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD00037911
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: