Provider Demographics
NPI:1326205857
Name:KARKARE, NAKUL V (MD)
Entity Type:Individual
Prefix:DR
First Name:NAKUL
Middle Name:V
Last Name:KARKARE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2500 NESCONSET HWY
Mailing Address - Street 2:BUILDING 10 UNIT D
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11790-2555
Mailing Address - Country:US
Mailing Address - Phone:631-706-4440
Mailing Address - Fax:212-203-9223
Practice Address - Street 1:2500 NESCONSET HWY
Practice Address - Street 2:BUILDING 10 UNIT D
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11790-2555
Practice Address - Country:US
Practice Address - Phone:631-981-2663
Practice Address - Fax:212-203-9223
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2018-03-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY263994207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA207177Medicare PIN
MD0390747Medicaid
PA2569883OtherHIGHMARK BLUE SHIELD
PA102540874Medicaid