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Individual

DR. PRADEEP KUMAR KAUSHIK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
34TH & CIVIC CENTER BLVD, 12TH FLOOR, MAIN BUILDING, PHILADELPHIA, PA 19104
(215) 590-2709
Mailing address
34TH & CIVIC CENTER BLVD, 12TH FLOOR, MAIN BUILDING, PHILADELPHIA, PA 19104
(215) 590-2709

Taxonomy

Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
F5675
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD446148
PA

Other

Enumeration date
11/16/2011
Last updated
10/10/2012
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