Provider Demographics
NPI:1104820695
Name:KULKARNI, VINAYAK S (MD)
Entity type:Individual
Prefix:
First Name:VINAYAK
Middle Name:S
Last Name:KULKARNI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 632958
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-2958
Mailing Address - Country:US
Mailing Address - Phone:513-451-9698
Mailing Address - Fax:513-451-9699
Practice Address - Street 1:9200 MONTGOMERY RD
Practice Address - Street 2:SUITE 3A
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-7789
Practice Address - Country:US
Practice Address - Phone:513-936-8700
Practice Address - Fax:513-936-8702
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-047317207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH100010953OtherRAILROAD MEDICARE
OH0626353Medicaid
OHA80907Medicare UPIN
OH100010953OtherRAILROAD MEDICARE