Individual
KUSH HARSHAVARDHAN TRIPATHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4515 WILES RD STE 201, COCONUT CREEK, FL 33073
(954) 943-1133
Mailing address
4515 WILES RD STE 201, COCONUT CREEK, FL 33073-3414
(954) 943-1133
(954) 532-7729
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125064824
IL
207L00000X
Anesthesiology Physician
136066
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
136066
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2013
Last updated
08/19/2019
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