MEDICARE: DR. KANCHAN PANDURANG KULKARNI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207U00000X	Nuclear Medicine Physician	MD035143	DC
2	2085R0202X	Diagnostic Radiology Physician	MD425400	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073503355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KANCHAN PANDURANG KULKARNI MD

Provider Business Mailing Address
First Line	:	3509 N BROAD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19140-4105
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	MEDSTAR MEDICAL GROUP RADIOLOGY
Second Line	:	4061 POWDER MILL RD. SUITE 210
City	:	CALVERTON
State	:	MD
Zip	:	20705
Country	:	US
Telephone Number	:	301-902-1073
Fax Number	:	301-902-1086

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	02/02/2026

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Directions to “ DR. KANCHAN PANDURANG KULKARNI MD” Practice Location

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