Individual
MANDAVI KULKARNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3500 FRANCISCAN WAY STE 300, MICHIGAN CITY, IN 46360-0033
(219) 861-5539
(219) 861-5725
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
01080382A
IN
207RI0200X
Infectious Disease Physician
036108756
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635822
BCBS PROVIDER ID
IL
05
—
036108756
—
IL
01
—
141016
ADVOCATE HLTH PARTNERS ID
IL
01
—
20362183503
ADVOCATE HLTH CENTER ID
IL
01
—
P00322706
RAILROAD MEDICARE
IL
Enumeration date
07/02/2006
Last updated
05/07/2025
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