Ilia Kuldoshin, OWNER

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

License

10D2246126 Issued in FL

Practice address

8000 W Broward Blvd Ste 1418
Plantation, FL 33388-0014

Phone

(786) 944-6842

NPI assigned

Feb 8, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1235883273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 W BROWARD BLVD STE 1418",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333880014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 W BROWARD BLVD STE 1418",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333880014",
            "telephone_number": "786-944-6842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULDOSHIN",
        "first_name": "ILIA",
        "credential": "OWNER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "FL",
            "license": "10D2246126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.textdirectly.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "8000 W Broward Blvd Ste 1418",
            "city": "Plantation",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333880014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kubal and Vedula Ophthalmic Associates LLC
• Aarup Anant Kubal, M.D.
• Jonathan Kudrowitz, PA-C
• Sarah Katherine Kujawski, CPNP-PC
• Winy Kujundzic, MD
• Sunil Kumar, M.D.
• Vandana Kumar, M.D.
• Sandhiya Kumari, MD
• Reana Kunjbehari, OTR/L
• Mini V Kuriakose, NP-C

• Clinical Pathology/Laboratory Medicine Physician in Plantation, FL
• Providers in Plantation, FL by specialty
• Clinical Pathology/Laboratory Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.