Provider Demographics
NPI:1528302767
Name:KULKARNI, GEETA (PA-C)
Entity type:Individual
Prefix:
First Name:GEETA
Middle Name:
Last Name:KULKARNI
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:CLEVELAND CLINIC MAIN CAMPUS
Mailing Address - Street 2:MAIL CODE A30 9500 EUCLID AVENUE
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-445-1299
Mailing Address - Fax:216-444-6305
Practice Address - Street 1:CLEVELAND CLINIC MAIN CAMPUS
Practice Address - Street 2:MAIL CODE A30 9500 EUCLID AVENUE
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-445-1299
Practice Address - Fax:216-444-6305
Is Sole Proprietor?:No
Enumeration Date:2012-11-10
Last Update Date:2012-11-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH003644363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical