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NPI 1174029458

NPI 1174029458 : SARVESH KAUSHIK MD : BERKELEY, CA

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General NPI Number Information
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    NPI Number           |    1174029458
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    Entity Type          |    Individual 
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    Provider Name        |    SARVESH KAUSHIK MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/04/2018
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    Last Update Date     |    09/07/2023
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Provider Practice Location Address
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    Address Line         |    2001 ADDISON ST STE 329 
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    City                 |    BERKELEY
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    State                |    CA
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    Zip                  |    94704-1192
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    Country              |    US
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    Telephone            |    510-666-0854
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    156 16TH AVE 
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    City                 |    SAN FRANCISCO
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    State                |    CA
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    Zip                  |    94118-1017
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    Country              |    US
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    Telephone            |    126-710-3384
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    A180020
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    License Number State |    CA
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