Individual
AMI S. KULKARNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8233 GLENCARIN BLVD, FORT WAYNE, IN 46804-5784
(260) 425-5470
(260) 425-5475
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02002687A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000314231
ANTHEM
IN
05
—
200462090
—
IN
05
—
2453929
—
OH
01
—
P00783783
RAILROAD MEDICARE
IN
Enumeration date
02/28/2006
Last updated
08/29/2023
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