Prerna Sethi Kultham
Dentist, General Practice in Fremont, CA. Individual provider (NPI-1).
NPI number1023397809
StatusActive
Last updated in NPPESAug 10, 2011
Details
- NPI
- 1023397809
- Entity type
- Individual (NPI-1)
- Name
- Prerna Sethi Kultham
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 10, 2011
- Last updated
- Aug 10, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 60638 | CA | Yes |
Practice location
40454 Torenia CirFremont, CA 94538-2474
Phone 510-402-4472
Mailing address
40454 Torenia CirFremont, CA 94538-2474
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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