Bhalachandra Kulkarni Llc | |
12836 Lomas Blvd Ne Ste D Albuquerque NM 87112-6200 | |
(505) 298-0230 | |
Not Available |
Full Name | Bhalachandra Kulkarni Llc |
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Speciality | General Practice |
Location | 12836 Lomas Blvd Ne Ste D, Albuquerque, New Mexico |
Authorized Official Name and Position | Bhalachandra Kulkarni (PROVIDER/OWNER) |
Authorized Official Contact | 5052980230 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bhalachandra Kulkarni Llc 12836 Lomas Blvd Ne Ste D Albuquerque NM 87112-6200 Ph: () - | Bhalachandra Kulkarni Llc 12836 Lomas Blvd Ne Ste D Albuquerque NM 87112-6200 Ph: (505) 298-0230 |
NPI Number | 1669056586 |
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Provider Enumeration Date | 05/06/2021 |
Last Update Date | 05/06/2021 |
Medicare PECOS PAC ID | 4981005659 |
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Medicare Enrollment ID | O20210701002267 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669056586 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Bhalachandra Akaram Kulkarni |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1609953272 PECOS PAC ID: 4880843143 Enrollment ID: I20121001000299 |
Provider Name | Rachel K Hansen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689214322 PECOS PAC ID: 0446652499 Enrollment ID: I20210713002215 |
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