Provider Demographics
NPI:1669836482
Name:KAUSHAL, SONIA
Entity Type:Individual
Prefix:MISS
First Name:SONIA
Middle Name:
Last Name:KAUSHAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 TODD CIR
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-5014
Mailing Address - Country:US
Mailing Address - Phone:732-343-4648
Mailing Address - Fax:
Practice Address - Street 1:ONE BAYLOR PLAZA: DEPARTMENT OF PEDIATRICS
Practice Address - Street 2:BCM 320
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3411
Practice Address - Country:US
Practice Address - Phone:832-824-1173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-07
Last Update Date:2023-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS09202080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology