Physician Compare National (NPI:1306867478)

HEALTHCARE PROVIDER: PRATIBHA AVINASH KULKARNI M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1306867478
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4385735463
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070803000020
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KULKARNI
	Individual professional last name
Provider First Name	PRATIBHA
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1976
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GERIATRIC MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GERIATRIC MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	116 MILLBURN AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 108
	Group Practice or individual's line 2 address
City	MILLBURN
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	070411919
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y