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NPI Code Detail

MEDICARE: ANNE KUSHWAHA M.D.

MEDICARE: ANNE KUSHWAHA 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
12085R0202XDiagnostic Radiology PhysicianK4475TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00214995OTHERTXRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
286484SOTHERTXBCBS (MDACC)

General Provider Information

NPI Number : 1134121742
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE KUSHWAHA M.D.
Provider Business Mailing Address
First Line : PO BOX 4439
Second Line :
City : HOUSTON
State : TX
Zip : 77210-4439
Country : US
Telephone Number : 713-792-2991
Fax Number :
Provider Business Practice Location Address
First Line : 1515 HOLCOMBE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77030-4009
Country : US
Telephone Number : 713-792-6161
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2005
Last Update Date : 01/26/2015

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