KISHORE KUPPASANI NPI 1659568954

NPI Information

Kishore Kuppasani is a medical physician assistant in Newark, NJ with 17 years of experience. Kishore Kuppasani NPI is 1659568954. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

185 S ORANGE AVE
UH, H-346
NEWARK, NJ
ZIP 07103-757
Phone: (973) 972-5283

The NPI 1659568954 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/1/2007 and was last updated on 10/1/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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