Individual
DR. MOHAN GANESH KULKARNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 E MICHIGAN AVE, SUITE 103, JACKSON, MI 49201-2457
(517) 788-6007
(517) 788-6438
Mailing address
900 E MICHIGAN AVE, SUITE 103, JACKSON, MI 49201-2457
(517) 788-6007
(517) 788-6438
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301066998
MI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
4301066998
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MK066998
STATE LICENSE
MI
Enumeration date
06/07/2006
Last updated
10/04/2023
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