Kaushansky, Kenneth

Kaushansky, Kenneth is an individual health care provider with primary practice located at 402 Dickinson St Mail Code 8811 - Suite 380, San Diego CA 92103-6902. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kaushansky, Kenneth can be contacted via phone (619) 543-6170.

Contact Information

Primary practice address
402 Dickinson St Mail Code 8811 - Suite 380 San Diego CA 92103-6902
Phone: (619) 543-6170
Fax: (619) 543-3931
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G86586 California
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X G86586 California

Profile Details

NPI number 1609834803
LBN Legal business name Kaushansky, Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609834803 NPPES
California MEDICAID 00G865860

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