PANKAJ KAUSHAL (NPI# 1114260148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114260148 |
| Entity Type | Individual |
| Full Name | PANKAJ KAUSHAL |
| Credential | M.D. |
| Practice Address |
1655 Woodbrooke Dr Salisbury MD 21804 |
| Mailing Address |
918 Eastern Shore Dr Salisbury MD 21804-6410 |
| Practice Telephone | 2403280609 |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2019-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
D87898 | MD | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
D87898 | MD | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 22 S Greene St, Room N3e09, Baltimore, MD 212011544 | 4103286110 |
| Street Address |
1655 WOODBROOKE DR |
| City | SALISBURY |
| State | MD |
| Zip Code | 21804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851359707 | Peninsula Imaging L.L.C. | Radiology | 1655 Woodbrooke Dr, Suite 101, Salisbury, MD 21804-8502 | 2006-05-02 |
| 1205213923 | Peninsula Regional Rehabilitation, LLC | Physical Therapist | 1655 Woodbrooke Dr, Suite 102, Salisbury, MD 21804-2317 | 2015-05-01 |
| 1609884121 | James O Burns | Emergency Medicine | 1655 Woodbrooke Dr, Suite 104, Salisbury, MD 21804-8502 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125969 | Lifes Energy Wellness Center Inc. | Community/Behavioral Health | 2324 West Zion Road Suite, Suite 112, Salisbury, MD 21804 | 2019-07-05 |
| 1578125340 | Lifes Energy Wellness Center Inc. | Counselor | 2324 West Zion Road Suite 112, Suite 112, Salisbury, MD 21804 | 2019-07-02 |
| 1093377855 | Lifes Energy Wellness Center Inc. | Clinic/Center | 2324 West Zion Road Suite #112, Salisbury, MD 21804 | 2019-07-02 |
| 1356904874 | Carly Showell Finkbeiner | Behavioral Analyst | 30507 Foxchase Dr, Salisbury, MD 21804 | 2019-04-19 |
| 1750844940 | Clifton Waters | Driver | 206 Davis St, Salisbury, MD 21804 | 2019-04-13 |
| 1487125415 | Rebecca J. Raygor | Social Worker | Wicomico High School, 201 Long Ave., Salisbury, MD 21804 | 2018-12-17 |
| 1639662745 | Peninsula Physical Therapy, LLC | Physical Therapist | 720 E College Ave Ste 11, Salisbury, MD 21804 | 2018-06-13 |
| 1376079533 | Kerry Choplin | Behavior Technician | 8032 Snow Hill Rd., Salisbury, MD 21804 | 2017-05-10 |
| 1558892992 | Three Lower Counties Community Services, Inc. | Clinic/Center | 1647 Woodbrooke Drive, Salisbury, MD 21804 | 2017-03-27 |
| 1508304759 | Driven Physiotherapy, LLC | Clinic/Center | 1029 Zircon Ct., Salisbury, MD 21804 | 2017-02-08 |
| Find all providers in zip 21804 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407465065 | A&e Ir Solutions | Radiology | 9000 Ewing Dr, Bethesda, MD 20817-3358 | 2020-07-29 |
| 1194374694 | Vascular Institute of Maryland Surgical Center, PC | Radiology | 351 W Camden St Ste 201, Baltimore, MD 21201-7912 | 2019-09-06 |
| 1386200525 | Centurion Vascular Care LLC | Radiology | 4230 Forbes Blvd Ste E, Lanham, MD 20706-4399 | 2019-05-14 |
| 1457873325 | Clinton Fibroid & Vascular LLC | Radiology | 9131 Piscataway Rd Ste 240, Clinton, MD 20735-2578 | 2017-07-12 |
| 1366848632 | Vascular Access Center of Southern Maryland LLC | Radiology | 7651 Matapeake Business Dr, Suite 101, Brandywine, MD 20613-3038 | 2014-11-13 |
| 1184034563 | Joanne Lam | Radiology | 1800 Orleans St Ste 7203, Baltimore, MD 21287-0010 | 2014-05-06 |
| 1609138668 | Elie Portnoy | Radiology | 1800 Orleans St # 7203, Baltimore, MD 21287-0010 | 2012-06-14 |
| 1992039762 | Siobhan L Mcgrane | Radiology | Dept Ir Johns Hopkins Hospital, 600 N Wolfe St, Baltimore, MD 21287-0001 | 2009-09-28 |
| 1184859589 | Akemi Miller | Radiology | 20410 Observation Dr Ste 104, Germantown, MD 20876 | 2009-05-29 |
| 1629242425 | Nelson R. De Lara | Radiology | 26 Glen Alpine Rd, Phoenix, MD 21131-2404 | 2008-04-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.