Individual
JATINDER N KAUSHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
412 N MONROE ST, WILLIAMSPORT, IN 47993-1049
(765) 762-4000
Mailing address
412 N MONROE ST, WILLIAMSPORT, IN 47993-1049
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01037318
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100137720A
—
IN
Enumeration date
06/09/2005
Last updated
07/06/2022
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