Provider Demographics
NPI:1710298138
Name:KAUSHAL, RITESH DALJIT (MD)
Entity type:Individual
Prefix:
First Name:RITESH
Middle Name:DALJIT
Last Name:KAUSHAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 39626
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-1250
Mailing Address - Country:US
Mailing Address - Phone:305-820-6657
Mailing Address - Fax:305-820-6658
Practice Address - Street 1:7100 W 20TH AVE STE 107
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-1813
Practice Address - Country:US
Practice Address - Phone:305-823-8510
Practice Address - Fax:305-823-8530
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-30
Last Update Date:2025-10-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME1146302084V0102X
MO20100197672084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology