Provider Demographics
NPI:1295594943
Name:KULKARNI, SHASHIKANT (PHD, FACMG)
Entity type:Individual
Prefix:DR
First Name:SHASHIKANT
Middle Name:
Last Name:KULKARNI
Suffix:
Gender:M
Credentials:PHD, FACMG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1699 HERMANN DR UNIT 7119
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-8140
Mailing Address - Country:US
Mailing Address - Phone:314-578-1809
Mailing Address - Fax:
Practice Address - Street 1:1699 HERMANN DR UNIT 7119
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-8140
Practice Address - Country:US
Practice Address - Phone:314-578-1809
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-15
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2017319207SC0300X
TX2019139207SG0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0203XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Molecular Genetics
No207SC0300XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Cytogenetics