Michael C Kushlan MD Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

MICHAEL C KUSHLAN MD INC

Practice address

2512 Samaritan CT Ste G
San Jose, CA 95124-4002

Phone

(408) 356-0468

Fax

(408) 356-4821

NPI assigned

Aug 29, 2010

Last updated

Jun 23, 2012By 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

Mr. Michael Charles Kushlan, M.D.NPI 1538273073

Title

President

Phone

(408) 356-0468

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Michael C Kushlan, M.D.

  • Gastroenterology Physician
  • San Jose, CA
  • NPI 1538273073
  Authorized official Same address or phone
• Edward Shengwen Huang, MD, MPH

  • Gastroenterology Physician
  • Mountain View, CA
  • NPI 1275682650
  NPD (past)

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

{
    "created_epoch": "1283040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340409600000",
    "number": "1376859231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 SAMARITAN CT STE G",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244002",
            "telephone_number": "408-356-0468",
            "fax_number": "408-356-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 SAMARITAN CT STE G",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244002",
            "telephone_number": "408-356-0468",
            "fax_number": "408-356-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL C KUSHLAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-29",
        "last_updated": "2012-06-23",
        "status": "A",
        "authorized_official_last_name": "KUSHLAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-356-0468",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2012; 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.