Dr. Neeta B Kaushal
Pediatrician
4107 N Water Tower Pl
Mount Vernon
, Illinois 62864-6296
Dr. Neeta B Kaushal
Pediatrician
4107 N Water Tower Pl
Mount Vernon
, Illinois 62864-6296
(618) 242-5437
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Neeta B Kaushal
- 4107 N Water Tower Pl
- Mount Vernon, IL
- Zip : 62864-6296
- Phone : (618) 242-5437
Second Address
- Dr. Neeta B Kaushal
- 4107 N Water Tower Pl
- Mount Vernon, IL
- Zip : 62864-6296
- Phone : (618) 242-5437
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 036094868 | IL |
National Provider Identifier
| NPI | 1003878703 |
|---|---|
| Provider Name | Dr. Neeta B Kaushal |
| First Address | Mount Vernon, IL 62864-6296 |
| Second Address | Mount Vernon, IL 62864-6296 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/04/2006 |
| Last Update Date | 20/04/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036094868 | (05) | IL |
| 207988 | GROUP (01) | IL |
| CE9335 | RR GROUP NUMBER (01) | IL |
| P00345211 | RR MEDICARE NUMBER (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.