Provider Demographics
NPI:1477873180
Name:KULKARNI, KIRAN ASHOK (MD)
Entity Type:Individual
Prefix:
First Name:KIRAN
Middle Name:ASHOK
Last Name:KULKARNI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 WASHINGTON STREET
Mailing Address - Street 2:PRATT PEDIATRIC ASSOCIATES, INC
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-0001
Mailing Address - Country:US
Mailing Address - Phone:617-636-5000
Mailing Address - Fax:
Practice Address - Street 1:800 WASHINGTON STREET
Practice Address - Street 2:PRATT PEDIATRIC ASSOCIATES, INC
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-0001
Practice Address - Country:US
Practice Address - Phone:617-636-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-03
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZR70642208000000X
MA251030208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics