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NPI Code Detail

MEDICARE: MR. KAUSHALKUMAR SUTHAR

MEDICARE: MR. KAUSHALKUMAR SUTHAR
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
1207RP1001XPulmonary Disease PhysicianW2792TX
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1326660473
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KAUSHALKUMAR SUTHAR
Provider Business Mailing Address
First Line : 1 BROOKDALE PLZ
Second Line :
City : BROOKLYN
State : NY
Zip : 11212-3139
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 BROOKDALE PLZ
Second Line :
City : BROOKLYN
State : NY
Zip : 11212-3139
Country : US
Telephone Number : 718-240-6205
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2020
Last Update Date : 06/05/2026

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