Koushik Sanku

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

TRN39272 Issued in FL

Practice address

4300 Alton Rd Ste 2070
Miami Beach, FL 33140-2948

Phone

(305) 674-2273

Fax

(305) 674-2273

NPI assigned

Jul 2, 2021

Last updated

Jun 10, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1710558580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402948",
            "telephone_number": "240-421-8159",
            "fax_number": "305-674-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD STE 2070",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402948",
            "telephone_number": "305-674-2273",
            "fax_number": "305-674-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANKU",
        "first_name": "KOUSHIK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-02",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "TRN39272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Edwardo Sandoval
• Edgar Sandoval, M.D.
• Monique Sandoval
• Tesil Nedumkallel Sani, MD
• Alma Rosa Sanjur, DO
• Veronica E. Sanmartino, DMD
• Nelson Sandino Sanoja Sr., LMT
• Santa Clara Home Health Inc.
• Santaclara Medical Services,Inc
• Juan Pablo Santana, MD

• Cardiovascular Disease Physician in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.