Prerna Sethi Kultham

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60638 Issued in CA

Practice address

40454 Torenia Cir
Fremont, CA 94538-2474

Phone

(510) 402-4472

NPI assigned

Aug 10, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: pkultham@direct.westerndental.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312934400000",
    "number": "1023397809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40454 TORENIA CIR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40454 TORENIA CIR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382474",
            "telephone_number": "510-402-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULTHAM",
        "first_name": "PRERNA",
        "middle_name": "SETHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-10",
        "last_updated": "2011-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Padmavathi Kudaravalli, MD
• Tracy Lynn Kuerbis, AU.D., CCC-A
• Dhanashri Kulkarni
• Shubhada R Kulkarni
• Kulmohan Sangha, D.C.
• Rachel Joy Kumaar, MA, BCBA
• Aditi Suneha Kumar
• Deepak Kumar, MD
• Jane Jamesetta Kumar, OTR/L
• Juhi Kumar, MD

• General Practice Dentistry in Fremont, CA
• Providers in Fremont, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.