Provider Demographics
NPI:1346344876
Name:KAUSHIK, VINOD PRAKASH (MD)
Entity Type:Individual
Prefix:
First Name:VINOD
Middle Name:PRAKASH
Last Name:KAUSHIK
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 1:2923 PECAN WOOD DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-2966
Mailing Address - Country:US
Mailing Address - Phone:713-572-7049
Mailing Address - Fax:
Practice Address - Street 1:301 UNIVERSITY BLVD
Practice Address - Street 2:3.236 JENNIE SEALLY
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77555-0460
Practice Address - Country:US
Practice Address - Phone:409-747-3571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM4229207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine