Individual
KUSUM B ASUDANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2825 E BARNETT ROAD, MEDFORD, OR 97504
(541) 732-5545
(541) 732-5548
Mailing address
2640 E BARNETT ROAD E333, MEDFORD, OR 97504
(541) 282-6770
(541) 282-6771
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
221888
MA
208M00000X
Hospitalist Physician
Primary
MD26855
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241344
—
OR
01
—
838334035
BCBS-ROSEBURG
OR
01
—
838366033
BCBS-MCMINNVILLE
OR
01
—
844477041
BCBS-GRANTS PASS
OR
01
—
858463032
BCBS-MEDFORD
OR
01
—
858464040
BCBS-SPRINGFIELD
OR
01
—
P00403585
RAIL ROAD MEDICARE
OR
Enumeration date
06/24/2006
Last updated
04/03/2017
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