Provider Demographics
NPI:1013995612
Name:CLAUDIUS, PUSHP KUMAR (MD)
Entity Type:Individual
Prefix:MR
First Name:PUSHP
Middle Name:KUMAR
Last Name:CLAUDIUS
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 1:401 LAMBERT RD.
Mailing Address - Street 2:
Mailing Address - City:BISCOE
Mailing Address - State:NC
Mailing Address - Zip Code:27209
Mailing Address - Country:US
Mailing Address - Phone:910-572-2173
Mailing Address - Fax:
Practice Address - Street 1:401 LAMBERT RD.
Practice Address - Street 2:
Practice Address - City:BISCOE
Practice Address - State:NC
Practice Address - Zip Code:27209
Practice Address - Country:US
Practice Address - Phone:910-572-2173
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9500044207R00000X
NC95-00044207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8922969Medicaid
F99226Medicare UPIN
NC8922969Medicaid