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NPI Code Detail

MEDICARE: DR. KAVEESH KUTTY MD

MEDICARE:  DR. KAVEESH  KUTTY  MD
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
1207P00000XEmergency Medicine PhysicianD90907MD

General Provider Information

NPI Number : 1811492515
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAVEESH KUTTY MD
Provider Business Mailing Address
First Line : 1500 RED RIVER ST
Second Line :
City : AUSTIN
State : TX
Zip : 78701-1918
Country : US
Telephone Number : 512-324-7030
Fax Number :
Provider Business Practice Location Address
First Line : 1500 RED RIVER ST
Second Line :
City : AUSTIN
State : TX
Zip : 78701-1918
Country : US
Telephone Number : 512-324-7030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2018
Last Update Date : 06/05/2026

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Directions to “ DR. KAVEESH KUTTY MD” Practice Location

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