Provider Demographics
NPI:1528084175
Name:KULKARNI, MALABIKA (MD)
Entity type:Individual
Prefix:
First Name:MALABIKA
Middle Name:
Last Name:KULKARNI
Suffix:
Gender:F
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 3126
Mailing Address - Street 2:
Mailing Address - City:PINEDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93650-3126
Mailing Address - Country:US
Mailing Address - Phone:559-436-0871
Mailing Address - Fax:559-436-5221
Practice Address - Street 1:2900 EUREKA WAY
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-0220
Practice Address - Country:US
Practice Address - Phone:530-225-8715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-15
Last Update Date:2009-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA79003207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ21365ZOtherPPSC
CAZZZ15999ZOtherMEMORIAL HOSPITAL
CAZZZ21367ZOtherEMPIRE SURGERY CENTER
CAZZZ34009ZOtherMERCY HOSPITAL
CAZZZ21366ZOtherSWSC
CAZZZ15998ZOtherMERCY SW HOSPITAL