Provider Demographics
NPI:1184681173
Name:KULKARNI, VIJAYKUMAR A (MD)
Entity Type:Individual
Prefix:DR
First Name:VIJAYKUMAR
Middle Name:A
Last Name:KULKARNI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 CAROL DR
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD CLIFFS
Mailing Address - State:NJ
Mailing Address - Zip Code:07632-2327
Mailing Address - Country:US
Mailing Address - Phone:201-569-9150
Mailing Address - Fax:
Practice Address - Street 1:100 HAMILTON PLZ
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07505-2109
Practice Address - Country:US
Practice Address - Phone:973-279-2323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2016-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03137400208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery