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Individual

DR. GURUDUTT B. KULKARNI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
500 ARCADE AVE, STE 400, ELKHART, IN 46514-2477
(574) 522-2284
(574) 522-3952
Mailing address
3245 HEALTH DRIVE, SUITE 100, GRANGER, IN 46530-3245
(574) 647-1840

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01059636A
IN
207RC0000X
Cardiovascular Disease Physician
01059636A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
01059636A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200401780
IN
Enumeration date
06/09/2005
Last updated
05/01/2023
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