Provider Demographics
NPI:1912246851
Name:NADKARNI, SALIL (DO)
Entity Type:Individual
Prefix:DR
First Name:SALIL
Middle Name:
Last Name:NADKARNI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 N KINGS RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90069-6015
Mailing Address - Country:US
Mailing Address - Phone:312-890-6428
Mailing Address - Fax:
Practice Address - Street 1:1015 N KINGS RD
Practice Address - Street 2:SUITE 108
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90069-6015
Practice Address - Country:US
Practice Address - Phone:312-890-6428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-13
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A12119207QA0505X
IL036114864207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine