1902965767 NPI number — DR. RUCHI KAUSHIK MD

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902965767 NPI number — DR. RUCHI KAUSHIK MD

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

KAUSHIK

Provider First Name:

RUCHI

Provider Middle Name:

Provider Name Prefix Text:

DR.

Provider Name Suffix Text:

Provider Credential Text:

MD

Provider Gender Code:

F

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

VASHISTHA

Provider Other First Name:

RUCHI

Provider Other Middle Name:

Provider Other Name Prefix Text:

DR.

Provider Other Name Suffix Text:

Provider Other Credential Text:

MD

Provider Other Last Name Type Code:

1

NPI Number:

1902965767

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

12/18/2024

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

220 ATHENS WAY STE 240

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

NASHVILLE

Provider Business Mailing Address State Name:

TN

Provider Business Mailing Address Postal Code:

37228-1311

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

833-208-7770

Provider Business Mailing Address Fax Number:

Provider First Line Business Practice Location Address:

3200 SOUTHWEST FWY STE 2100

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

HOUSTON

Provider Business Practice Location Address State Name:

TX

Provider Business Practice Location Address Postal Code:

77027-7525

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

833-208-7770

Provider Business Practice Location Address Fax Number:

833-464-3584

Provider Enumeration Date:

12/07/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 208000000X , with the licence number:  MD500003353 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 208000000X , with the licence number: 343138 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 208000000X , with the licence number: 33853 , registered in the state of MS ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 208000000X , with the licence number: 143466 , registered in the state of MT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 208000000X , with the licence number: 234312 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 208000000X , with the licence number: ME168269 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 208000000X , with the licence number: Q0287 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
• Taxonomy code: 208000000X , with the licence number: 71372 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

• Identifier: 1201570 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
• Identifier: 0723247 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
• Identifier: 1201569 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
• Identifier: 1723247 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
• Identifier: 250907 . This is a "MIDLANDS CHOICE" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".
• Identifier: 1201571 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
• Identifier: 30593 . This is a "BCBS OF NEBRASKA" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".
• Identifier: 1201566 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
• Identifier: 2723247 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
• Identifier: 100253323-00 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
• Identifier: ENROLLED , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".
• Identifier: 1201564 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
• Identifier: 1201565 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
• Identifier: 1201567 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
• Identifier: 1201568 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".