Provider Demographics
NPI:1992963920
Name:KULUVA, JOSHUA ELAN (MD)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:ELAN
Last Name:KULUVA
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 1:2850 TELEGRAPH AVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-1192
Mailing Address - Country:US
Mailing Address - Phone:510-204-8140
Mailing Address - Fax:
Practice Address - Street 1:2850 TELEGRAPH AVE
Practice Address - Street 2:SUITE 110
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-1192
Practice Address - Country:US
Practice Address - Phone:510-204-8140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-27
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2337092084N0400X, 2084P0800X
390200000X
CAA1092672084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program