Individual
DR. MEDINA CALLI KUSHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
700 BENTWATER CIR APT 102, NAPLES, FL 34108-6732
(612) 227-7543
Mailing address
4371 VERONICA S SHOEMAKER BLVD, ATTN: CREDENTIALING DEPT, FORT MYERS, FL 33916-2216
(239) 432-8340
(813) 630-6121
Taxonomy
Speciality
Code
Description
License number
State
207UN0902X
Nuclear Imaging & Therapy Physician
ME107869
FL
2085R0202X
Diagnostic Radiology Physician
Primary
ME107869
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002611600
—
FL
Enumeration date
10/31/2007
Last updated
01/22/2025
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