Provider Demographics
NPI:1639510415
Name:KULKARNI, TAPAS (MB BCH BAO)
Entity Type:Individual
Prefix:DR
First Name:TAPAS
Middle Name:
Last Name:KULKARNI
Suffix:
Gender:M
Credentials:MB BCH BAO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6190 GIRBY RD
Mailing Address - Street 2:APARTMENT 1221
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36693-3357
Mailing Address - Country:US
Mailing Address - Phone:251-622-8295
Mailing Address - Fax:
Practice Address - Street 1:1700 CENTER ST
Practice Address - Street 2:CWEB 1, ROOM 1538
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36604-3301
Practice Address - Country:US
Practice Address - Phone:251-434-3915
Practice Address - Fax:251-415-1387
Is Sole Proprietor?:No
Enumeration Date:2013-07-09
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program