Provider Demographics
NPI:1902965767
Name:KAUSHIK, RUCHI (MD)
Entity type:Individual
Prefix:DR
First Name:RUCHI
Middle Name:
Last Name:KAUSHIK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:RUCHI
Other - Middle Name:
Other - Last Name:VASHISTHA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:220 ATHENS WAY STE 240
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37228-1311
Mailing Address - Country:US
Mailing Address - Phone:833-208-7770
Mailing Address - Fax:
Practice Address - Street 1:3200 SOUTHWEST FWY STE 2100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-7525
Practice Address - Country:US
Practice Address - Phone:833-208-7770
Practice Address - Fax:833-464-3584
Is Sole Proprietor?:No
Enumeration Date:2006-12-07
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD500003353208000000X
LA343138208000000X
MS33853208000000X
MT143466208000000X
NY234312208000000X
FLME168269208000000X
TXQ0287208000000X
TN71372208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE1201570Medicaid
IA0723247Medicaid
NE1201569Medicaid
IA1723247Medicaid
NE250907OtherMIDLANDS CHOICE
NE1201571Medicaid
NE30593OtherBCBS OF NEBRASKA
NE1201566Medicaid
IA2723247Medicaid
NE100253323-00Medicaid
MNENROLLEDMedicaid
NE1201564Medicaid
NE1201565Medicaid
NE1201567Medicaid
NE1201568Medicaid
IA1723247Medicaid