Provider Demographics
NPI:1851573844
Name:KANAKIA, RUSHIT R (MD)
Entity Type:Individual
Prefix:DR
First Name:RUSHIT
Middle Name:R
Last Name:KANAKIA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1715 MCCULLOUGH AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-4046
Mailing Address - Country:US
Mailing Address - Phone:210-588-0122
Mailing Address - Fax:210-558-0115
Practice Address - Street 1:1715 MCCULLOUGH AVE FL 2
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-4046
Practice Address - Country:US
Practice Address - Phone:210-588-0122
Practice Address - Fax:210-558-0115
Is Sole Proprietor?:No
Enumeration Date:2007-11-30
Last Update Date:2019-04-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXN7115207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease