Individual
DR. SHIVU KAUSHIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11104 PARKVIEW CIRCLE DR STE 410, FORT WAYNE, IN 46845-0025
(260) 266-5260
(260) 667-2611
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
(260) 266-6013
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0116016232
VA
207R00000X
Internal Medicine Physician
11355
ND
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
11355
ND
207RP1001X
Pulmonary Disease Physician
Primary
01079502A
IN
207RP1001X
Pulmonary Disease Physician
11355
ND
Other
Enumeration date
05/15/2007
Last updated
10/10/2022
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