Provider Demographics
NPI:1639178601
Name:KULKARNI, SUNDARA P (MD)
Entity Type:Individual
Prefix:
First Name:SUNDARA
Middle Name:P
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 1:16651 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2345
Mailing Address - Country:US
Mailing Address - Phone:713-774-5131
Mailing Address - Fax:713-774-4336
Practice Address - Street 1:16651 SOUTHWEST FWY
Practice Address - Street 2:SUITE 200
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2345
Practice Address - Country:US
Practice Address - Phone:713-774-5131
Practice Address - Fax:713-774-4336
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2011-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF5260207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0107128-003OtherCIGNA
TX694457OtherAETNA
TX0994477-02Medicaid
TX88W577OtherBC/BS
TX160006654OtherMEDICARE RR-SW LOCATION
TX0994477-02Medicaid
TX88W577Medicare ID - Type Unspecified