1831943190 NPI number — KHUSHALI TEJASBHAI KUKADIYA PHYSICAL THERAPIST

Table of content: KHUSHALI TEJASBHAI KUKADIYA PHYSICAL THERAPIST (NPI 1831943190)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831943190 NPI number — KHUSHALI TEJASBHAI KUKADIYA PHYSICAL THERAPIST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KUKADIYA
Provider First Name:
KHUSHALI
Provider Middle Name:
TEJASBHAI
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PHYSICAL THERAPIST
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831943190
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/15/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
41 PATERSON ST APT 2R
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JERSEY CITY
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07307-2724
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
409-454-2143
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4160 MAIN ST STE 201B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FLUSHING
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11355-3899
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-886-6696
Provider Business Practice Location Address Fax Number:
347-732-9367
Provider Enumeration Date:
04/15/2024

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  047071 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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