Provider Demographics
NPI:1366023731
Name:KAUSHIK, NEHA (ND, MPH)
Entity Type:Individual
Prefix:DR
First Name:NEHA
Middle Name:
Last Name:KAUSHIK
Suffix:
Gender:F
Credentials:ND, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 KINGS HWY E
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06825-5419
Mailing Address - Country:US
Mailing Address - Phone:203-331-9111
Mailing Address - Fax:
Practice Address - Street 1:805 KINGS HWY E
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06825-5419
Practice Address - Country:US
Practice Address - Phone:203-331-9111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-17
Last Update Date:2021-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ20-1940175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath