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NPI Code Detail

MEDICARE: DR. ROHIT VENKAT PUSKOOR M.D.

MEDICARE: DR. ROHIT VENKAT PUSKOOR M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianP3955TX
2207R00000XInternal Medicine Physician01070095AIN

General Provider Information

NPI Number : 1235302548
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROHIT VENKAT PUSKOOR M.D.
Provider Business Mailing Address
First Line : 5800 FOREST HIGHLANDS DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-4430
Country : US
Telephone Number : 817-602-5188
Fax Number : 817-292-9584
Provider Business Practice Location Address
First Line : 5560 MESA SPRINGS DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76123-2120
Country : US
Telephone Number : 817-567-2871
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2008
Last Update Date : 10/02/2019

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