Provider Demographics
NPI:1083939292
Name:KULKARNI, PREETI PRALHAD (ND)
Entity Type:Individual
Prefix:
First Name:PREETI
Middle Name:PRALHAD
Last Name:KULKARNI
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 W EL CAMINO REAL STE 265
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-8127
Mailing Address - Country:US
Mailing Address - Phone:669-248-3959
Mailing Address - Fax:408-663-5105
Practice Address - Street 1:333 W EL CAMINO REAL STE 265
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-8127
Practice Address - Country:US
Practice Address - Phone:669-248-3959
Practice Address - Fax:408-663-5105
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-30
Last Update Date:2020-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA133NN1002X, 175L00000X
CAND-284175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No175L00000XOther Service ProvidersHomeopath