Provider Demographics
NPI:1548326226
Name:NULKAR, ABHA (PT)
Entity type:Individual
Prefix:MRS
First Name:ABHA
Middle Name:
Last Name:NULKAR
Suffix:
Gender:F
Credentials:PT
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 70758
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-0758
Mailing Address - Country:US
Mailing Address - Phone:408-736-7600
Mailing Address - Fax:
Practice Address - Street 1:479 E EVELYN AVE
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94086-6358
Practice Address - Country:US
Practice Address - Phone:408-736-7600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33259225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1053320325OtherTYPE 2NPI
CAZZZ29361ZOtherMEDICARE GROUP PTAN
CAOPT223590Medicare PIN