Individual
DR. ANKIT KUSHWAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
587 SKYLINE DR, JACKSON, TN 38301-3938
(731) 422-7900
(731) 599-4246
Mailing address
587 SKYLINE DR, JACKSON, TN 38301-3938
(731) 422-7900
(731) 599-4246
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
69697
TN
207RP1001X
Pulmonary Disease Physician
Primary
69697
TN
Other
Enumeration date
05/02/2018
Last updated
06/20/2024
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