Organization Active NPI

Saroj N Kulkarni MD PC

  • Internal Medicine Physician
  • Gilbert, AZ
National Provider Identifier
1679602833
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22312 Issued in AZ
Legal business name
SAROJ N KULKARNI MD PC
Practice address
4331 E Baseline Rd
Suite B 105-177
Gilbert, AZ 85234-2961
Phone
(602) 214-4569
Fax
(480) 633-3524
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Authorized official

Name
Saroj N Kulkarni, MD
Title
Owner Physician
Phone
(602) 214-4569

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 22312 AZ Primary

Addresses

Primary practice location

4331 E Baseline Rd
Suite B 105-177
Gilbert, AZ 85234-2961

Mailing address

4331 E Baseline Rd
Suite B 105-177
Gilbert, AZ 85234-2961
Phone (602) 214-4569

Other identifiers 1

IdentifierTypeStateIssuer
357302MedicaidAZ

National Provider Directory

National Provider Directory

Locations

4331 E Baseline Rd
Ste B
Gilbert, AZ 85234
Phone (602) 214-4569

5235 E Southern Ave
#D10617
Mesa, AZ 85206

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1679602833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4331 E BASELINE RD",
            "address_2": "SUITE B 105-177",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342961",
            "telephone_number": "602-214-4569",
            "fax_number": "480-633-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4331 E BASELINE RD",
            "address_2": "SUITE B 105-177",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342961",
            "telephone_number": "602-214-4569",
            "fax_number": "480-633-3524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAROJ N KULKARNI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "KULKARNI",
        "authorized_official_first_name": "SAROJ",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "602-214-4569",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "22312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "357302",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.