DR. SHALESH KAUSHAL, MD PHD - NPI NUMBER 1649225640

Summary

Provider Name: DR. SHALESH KAUSHAL, MD PHD

NPI Number: 1649225640

Clasification: Ophthalmology (207W00000X)

Organization: G BROCK MAGRUDER MD PA

Address:
1400 N US HIGHWAY 441 STE 532
THE VILLAGES, FL
ZIP 32159

Phone Number: (352) 484-1171



Detailed Information

DR. Shalesh Kaushal, MD PHD is an ophthalmologist in The Villages, FL with 26 years of experience. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. The assigned NPI number for this provider is 1649225640 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year: 1988

The provider's business address is:

1400 N US HIGHWAY 441 STE 532
THE VILLAGES, FL
ZIP 32159-985
Phone: (352) 484-1171

The enumeration date for this NPI number is 5/24/2006 and was last updated on 8/20/2013.

Map - Location of Practice

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1255306635 ISAAC SAMUEL VERGARA, M.D.
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1184794372 MAMDOUH HASSAN ZEINI, M.D., PH.D
Ophthalmology

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207W00000X Ophthalmology 238661 MA No
2 207W00000X Ophthalmology ME86573 FL Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 G24868 MEDICARE UPIN MA

NPI Record

No. Field Name Field Value
1 NPI 1649225640
2 Entity Type Code 1
3 Provider Last Name Legal Name KAUSHAL
4 Provider First Name SHALESH
5 Provider Name Prefix Text DR.
6 Provider Credential Text MD PHD
7 Provider First Line Business Practice Location Address 1400 N US HIGHWAY 441 STE 532
8 Provider Business Practice Location Address City Name THE VILLAGES
9 Provider Business Practice Location Address State Name FL
10 Provider Business Practice Location Address Postal Code 321598985
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 3524841171
13 Provider Enumeration Date 5/24/2006
14 Last Update Date 8/20/2013
15 Provider Gender Code M
16 Healthcare Provider Taxonomy Code 1 207W00000X
17 Provider License Number 1 238661
18 Provider License Number State Code 1 MA
19 Healthcare Provider Primary Taxonomy Switch 1 N
20 Healthcare Provider Taxonomy Code 2 207W00000X
21 Provider License Number 2 ME86573
22 Provider License Number State Code 2 FL
23 Healthcare Provider Primary Taxonomy Switch 2 Y
24 Other Provider Identifier 1 G24868
25 Other Provider Identifier Type Code 1 02
26 Other Provider Identifier State 1 MA
27 Is Sole Proprietor N

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This page was last updated on: 10/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.