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General NPI Number Information
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NPI Number | 1710298138
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Entity Type | Individual
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Provider Name | RITESH DALJIT KAUSHAL M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2010
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 7100 W 20TH AVE STE 107
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City | HIALEAH
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State | FL
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Zip | 33016-1813
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Country | US
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Telephone | 305-823-8510
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Fax | 305-823-8530
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Provider Business Mailing Address
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Address Line | PO BOX 39626
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City | BELFAST
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State | ME
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Zip | 04915-1250
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Country | US
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Telephone | 305-820-6657
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Fax | 305-820-6658
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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 | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number | ME114630
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 2010019767
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License Number State | MO
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