Individual
DR. NEETA B KAUSHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4107 N WATER TOWER PL, MOUNT VERNON, IL 62864-6296
(618) 242-5437
Mailing address
4107 N WATER TOWER PL, MOUNT VERNON, IL 62864-6296
(618) 242-5437
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036094868
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036094868
—
IL
01
—
207988
GROUP
IL
01
—
CE9335
RR GROUP NUMBER
IL
01
—
P00345211
RR MEDICARE NUMBER
IL
Enumeration date
04/06/2006
Last updated
04/20/2012
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