MEDICARE: VISHAL KAUSHIK SR.

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
1	102L00000X	Psychoanalyst

General Provider Information

NPI Number	:	1427866417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VISHAL KAUSHIK SR.

Provider Business Mailing Address
First Line	:	3815 BALDWIN AVE APT 5
Second Line	:
City	:	EL MONTE
State	:	CA
Zip	:	91731-4700
Country	:	US
Telephone Number	:	615-562-2927
Fax Number	:

Provider Business Practice Location Address
First Line	:	3815 BALDWIN AVE APT 5
Second Line	:
City	:	EL MONTE
State	:	CA
Zip	:	91731-4700
Country	:	US
Telephone Number	:	615-562-2927
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2024
Last Update Date	:	12/21/2024

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Directions to “ VISHAL KAUSHIK SR. ” Practice Location

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