Individual
ASHUTOSH KAUSHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 RIVERSIDE CIRCLE, ROANOKE, VA 24016
(540) 981-7000
(540) 983-1133
Mailing address
3 RIVERSIDE CIRCLE, ROANOKE, VA 24016
(540) 345-5331
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101-056372
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005821461
—
VA
05
—
005821479
—
VA
05
—
005886163
—
VA
Enumeration date
11/04/2005
Last updated
08/12/2011
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