Provider Demographics
NPI:1740597178
Name:KULKARNI, DIVYA SOMAYA (MD)
Entity Type:Individual
Prefix:DR
First Name:DIVYA
Middle Name:SOMAYA
Last Name:KULKARNI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DIVYA
Other - Middle Name:
Other - Last Name:SOMAYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5229 HIGHWAY 221
Mailing Address - Street 2:
Mailing Address - City:ROEBUCK
Mailing Address - State:SC
Mailing Address - Zip Code:29376-3305
Mailing Address - Country:US
Mailing Address - Phone:864-576-8193
Mailing Address - Fax:864-595-2548
Practice Address - Street 1:5229 HIGHWAY 221
Practice Address - Street 2:
Practice Address - City:ROEBUCK
Practice Address - State:SC
Practice Address - Zip Code:29376-3305
Practice Address - Country:US
Practice Address - Phone:864-576-8193
Practice Address - Fax:864-595-2548
Is Sole Proprietor?:No
Enumeration Date:2010-09-07
Last Update Date:2015-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY258522207Q00000X
SC34046207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine