Provider Demographics
NPI:1902886831
Name:GULATI, KULBHUSHAN DHARAMBIR (MD)
Entity Type:Individual
Prefix:MR
First Name:KULBHUSHAN
Middle Name:DHARAMBIR
Last Name:GULATI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:65 ELAINE DR
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-6143
Mailing Address - Country:US
Mailing Address - Phone:845-338-4082
Mailing Address - Fax:845-338-3058
Practice Address - Street 1:40 HURLEY AVE
Practice Address - Street 2:# 4
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-3739
Practice Address - Country:US
Practice Address - Phone:845-338-5600
Practice Address - Fax:845-338-3058
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2010-12-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY166459207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
A64325Medicare UPIN