Healthcare Provider Details

I. General information

NPI: 1497014872
Provider Name (Legal Business Name): PARUL KAUSHIK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2012
Last Update Date: 09/12/2023
Certification Date: 09/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2540 K AVE STE 500
PLANO TX
75074-5360
US

IV. Provider business mailing address

2540 K AVE STE 500
PLANO TX
75074-5360
US

V. Phone/Fax

Practice location:
  • Phone: 940-381-1501
  • Fax: 940-566-8059
Mailing address:
  • Phone: 940-381-1501
  • Fax: 940-566-8059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberQ6335
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: