Individual
VIKAS BHUSHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7710T CHERRY PARK DR # 522, HOUSTON, TX 77095-2725
(877) 572-8456
Mailing address
PO BOX 1888, GREENVILLE, TX 75403
(800) 945-2455
(770) 237-1831
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
E4260
AR
2085R0202X
Diagnostic Radiology Physician
Primary
L3921
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003869439
—
MO
05
—
154218503
—
TX
05
—
154218506
—
TX
05
—
161954001
—
AR
05
—
200101060A
—
OK
05
—
23381256
—
NM
Enumeration date
05/18/2006
Last updated
09/24/2009
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