Northeast Infectious Diseases Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

056582 Issued in GA

Legal business name

NORTHEAST INFECTIOUS DISEASES INC

Practice address

601 Professional Dr # a
Suite 340
Lawrenceville, GA 30045-7698

Phone

(678) 376-4252

Fax

(678) 376-4253

NPI assigned

Aug 24, 2007

Last updated

Jan 31, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Karuna Kusan, M.D.NPI 1013921329

Title

Physician

Phone

(678) 376-4252

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karuna Kusan, M.D.

  • Infectious Disease Physician
  • Lawrenceville, GA
  • NPI 1013921329
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1235322033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 PROFESSIONAL DR # A",
            "address_2": "SUITE 340",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300457698",
            "telephone_number": "678-376-4252",
            "fax_number": "678-376-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 PROFESSIONAL DR # A",
            "address_2": "SUITE 340",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300457698",
            "telephone_number": "678-376-4252",
            "fax_number": "678-376-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST INFECTIOUS DISEASES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "KUSAN",
        "authorized_official_first_name": "KARUNA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "678-376-4252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "056582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.