Provider Demographics
NPI:1205135860
Name:KAUSHIK, MANAS (MBBS)
Entity type:Individual
Prefix:
First Name:MANAS
Middle Name:
Last Name:KAUSHIK
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 1:8616 2ND AVE
Mailing Address - Street 2:APT 520
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3786
Mailing Address - Country:US
Mailing Address - Phone:301-395-4546
Mailing Address - Fax:
Practice Address - Street 1:8616 2ND AVE
Practice Address - Street 2:APT 520
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3786
Practice Address - Country:US
Practice Address - Phone:301-395-4546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-22
Last Update Date:2016-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY60 276223207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine