Provider Demographics
NPI:1730103714
Name:KULKARNI, NIKHIL (MD)
Entity Type:Individual
Prefix:DR
First Name:NIKHIL
Middle Name:
Last Name:KULKARNI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11024 MONTGOMERY BLVD NE STE 304
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-3962
Mailing Address - Country:US
Mailing Address - Phone:505-260-4371
Mailing Address - Fax:
Practice Address - Street 1:PRESYBTERIAN HOSPITAL
Practice Address - Street 2:1100 CENTRAL AVE SE
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106
Practice Address - Country:US
Practice Address - Phone:505-841-1234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2015-0670207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1730103714Medicaid
VA297677OtherAMERIGROUP
VA9398306OtherPHCS
VAK142-0001OtherCAREFIRST
VA139230OtherANTHEM
VA484645OtherNCPPO
VA251775OtherKAISER
VAI40504Medicare UPIN
VA008488F81Medicare PIN
VAK142-0001OtherCAREFIRST
VA9398306OtherPHCS