Provider Demographics
NPI:1932698339
Name:KUSHWAHA, ANKIT (MBBS)
Entity Type:Individual
Prefix:MR
First Name:ANKIT
Middle Name:
Last Name:KUSHWAHA
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 PELHAM PARKWAY SOUTH, DEPT OF MEDICINE, JACOBI MED
Mailing Address - Street 2:BUILDING 1, ROOM 303 CORE
Mailing Address - City:NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10461
Mailing Address - Country:US
Mailing Address - Phone:718-918-5642
Mailing Address - Fax:718-918-3174
Practice Address - Street 1:1400 PELHAM PARKWAY SOUTH, DEPT OF MEDICINE, JACOBI MED
Practice Address - Street 2:BUILDING 1, ROOM 303 CORE
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:718-918-5642
Practice Address - Fax:718-918-3174
Is Sole Proprietor?:No
Enumeration Date:2018-05-02
Last Update Date:2018-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program