Individual
JAMES P KUSHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
PO BOX 581700, SALT LAKE CITY, UT 84158-1700
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
151632-1205
UT
207RH0000X
Hematology (Internal Medicine) Physician
151632-1205
UT
207RH0003X
Hematology & Oncology Physician
151632-1205
UT
207ZH0000X
Hematology (Pathology) Physician
151632-1205
UT
207ZP0101X
Anatomic Pathology Physician
151632-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000052900
—
ID
05
—
002088532
—
NV
05
—
0032793
—
MT
05
—
04211
—
UT
01
—
107005274101
IHC # 870442845
—
01
—
107005274H04
IHC HUNTSMAN # 870442845
—
01
—
111157015
RAILROAD MEDICARE
UT
05
—
122118300
—
WY
01
—
1882
UNIVERSITY HEALTH PLANS #
—
01
—
1894
PEHP # 870442845
—
01
—
3000011
UNITED HEALTH CARE #
—
01
—
36608
DMBA # 870442845
—
01
—
870442845KU1
EMIA # 870442845
—
01
—
PRA03743
MOLINA # 870442845
—
01
—
QM0000022835
ALTIUS # 870442845
—
Enumeration date
05/10/2006
Last updated
05/07/2008
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