Individual
DR. GAJANAN A KULKARNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9320 STATE ROAD 54, FLORIDA CANCER SPECIALISTS P L, TRINITY, FL 34655-1808
(727) 493-2513
(877) 917-2336
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
(239) 278-3350
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
ME44512
FL
207RX0202X
Medical Oncology Physician
Primary
ME44512
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062865400
—
FL
01
—
205877
AVMED
—
01
—
2500932
GHI
FL
01
—
51229
BC/BS FL
FL
01
—
5228128
AETNA
FL
01
—
830003792
RR MEDICARE
FL
01
—
9105777-001
CIGNA
—
Enumeration date
06/24/2005
Last updated
08/09/2022
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