Healthcare Provider Details

I. General information

NPI: 1902965767
Provider Name (Legal Business Name): RUCHI KAUSHIK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RUCHI VASHISTHA MD

II. Dates (important events)

Enumeration Date: 12/07/2006
Last Update Date: 12/18/2024
Certification Date: 11/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 SOUTHWEST FWY STE 2100
HOUSTON TX
77027-7525
US

IV. Provider business mailing address

220 ATHENS WAY STE 240
NASHVILLE TN
37228-1311
US

V. Phone/Fax

Practice location:
  • Phone: 833-208-7770
  • Fax: 833-464-3584
Mailing address:
  • Phone: 833-208-7770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD500003353
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number343138
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number33853
License Number StateMS
# 4
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number143466
License Number StateMT
# 5
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number234312
License Number StateNY
# 6
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME168269
License Number StateFL
# 7
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberQ0287
License Number StateTX
# 8
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number71372
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: