Provider Demographics
NPI:1093788275
Name:KUSH, FRANK H (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:H
Last Name:KUSH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4815 LIBERTY AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-2156
Mailing Address - Country:US
Mailing Address - Phone:412-621-1566
Mailing Address - Fax:412-621-8557
Practice Address - Street 1:4815 LIBERTY AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-2156
Practice Address - Country:US
Practice Address - Phone:412-621-1566
Practice Address - Fax:412-621-8557
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD014295E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0006440170005Medicaid
PA0006440170001Medicaid
PAP00035080Medicare PIN
PA0006440170005Medicaid
PA159474R7RMedicare PIN