Organization
JATINDER N KAUSHAL MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVETTE LONGFELLOW (OFFICE MANAGER)
(765) 626-0056
Entity
Organization
Contact information
Practice address
315 W LINCOLN RD, SUITE A, KOKOMO, IN 46902-3851
(765) 626-0056
(765) 864-9220
Mailing address
315 W LINCOLN RD, SUITE A, KOKOMO, IN 46902-3851
(765) 626-0056
(765) 864-9220
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01037318
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100012718
RAILROAD MEDICARE
IN
05
—
100137720
—
IN
Enumeration date
06/14/2007
Last updated
01/22/2009
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