MEDICARE: RAINU KAUSHAL

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	207R00000X	Internal Medicine Physician	241585	NY
2	208000000X	Pediatrics Physician	241585	NY

General Provider Information

NPI Number	:	1558414524
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAINU KAUSHAL

Provider Business Mailing Address
First Line	:	1755 YORK AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10128-6849
Country	:	US
Telephone Number	:	212-734-7448
Fax Number	:

Provider Business Practice Location Address
First Line	:	411 E 69TH ST RM 312
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10021-5608
Country	:	US
Telephone Number	:	212-746-1703
Fax Number	:

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

Provider Enumeration Date	:	01/20/2007
Last Update Date	:	09/11/2025

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Directions to “ RAINU KAUSHAL ” Practice Location

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