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Individual

PRASHANT KAUSHIK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1373 E BOONE ST STE 2300, TAHLEQUAH, OK 74464-3365
(918) 207-0025
(918) 207-0026
Mailing address
1400 E DOWNING ST, TAHLEQUAH, OK 74464-3324
(918) 456-0641
(918) 453-2341

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36301
OK
207RR0500X
Rheumatology Physician
10324
ND
207RR0500X
Rheumatology Physician
277958
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10324
LICENSE
ND
05
14044
ND
01
P00341234
RAILROAD MEDICARE
ND
Enumeration date
09/05/2006
Last updated
04/08/2026
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