| Bhalachandra Kulkarni LLC | |
|
12836 Lomas Blvd Ne Ste D Albuquerque NM 87112-6200 | |
| (505) 298-0230 | |
| Not Available |
| Full Name | Bhalachandra Kulkarni LLC |
|---|---|
| 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 |
|---|---|
| Bhalachandra Kulkarni LLC 12836 Lomas Blvd Ne Ste D Albuquerque NM 87112-6200 | Bhalachandra Kulkarni LLC 12836 Lomas Blvd Ne Ste D Albuquerque NM 87112-6200 Ph: (505) 298-0230 |
| NPI Number | 1669056586 |
|---|---|
| Provider Enumeration Date | 05/06/2021 |
| Last Update Date | 05/06/2021 |
| Certification Date | 05/06/2021 |
| Medicare PECOS PAC ID | 4981005659 |
|---|---|
| Medicare Enrollment ID | O20210701002267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669056586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Bhalachandra Akaram Kulkarni |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1609953272 PECOS PAC ID: 4880843143 Enrollment ID: I20121001000299 |
| Provider Name | Rachel K Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689214322 PECOS PAC ID: 0446652499 Enrollment ID: I20210713002215 |
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