Provider Demographics
NPI:1760582944
Name:B.S.MAHAL,MD & P.K. KULKARNI, MD,PA
Entity Type:Organization
Organization Name:B.S.MAHAL,MD & P.K. KULKARNI, MD,PA
Other - Org Name:ALLEGANY CARDIOLOGY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BALJEET
Authorized Official - Middle Name:S
Authorized Official - Last Name:MAHAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-724-6787
Mailing Address - Street 1:952 SETON DR
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-1950
Mailing Address - Country:US
Mailing Address - Phone:301-724-6787
Mailing Address - Fax:301-724-0701
Practice Address - Street 1:952 SETON DR
Practice Address - Street 2:SUITE 301
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-1950
Practice Address - Country:US
Practice Address - Phone:301-724-6787
Practice Address - Fax:301-724-0701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDKM94Medicare ID - Type Unspecified