Provider Demographics
NPI:1386676005
Name:KULKARNI, VIDYA PRASAD (MD)
Entity Type:Individual
Prefix:DR
First Name:VIDYA
Middle Name:PRASAD
Last Name:KULKARNI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:VIDYA
Other - Middle Name:SADASHIV
Other - Last Name:SAKHALKAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1601 SW ARCHER RD
Mailing Address - Street 2:NF/SG VAHS (11Q/C&P)
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-1135
Mailing Address - Country:US
Mailing Address - Phone:352-376-1611
Mailing Address - Fax:
Practice Address - Street 1:1601 SW ARCHER ROAD
Practice Address - Street 2:NF/SG VAHS (11Q/C&P)
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-1197
Practice Address - Country:US
Practice Address - Phone:352-376-1611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME940902084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology