Shashidhar Kusuma in Plantation - Plastic Surgery Within The Head & Neck
Shashidhar Kusuma - NPI 1598770430
Shashidhar Kusuma is a Plastic Surgery Within The Head & Neck in Plantation, Florida. Shashidhar Kusuma practices all healthcare services and medical treatments related to Plastic Surgery Within The Head & Neck. The NPI Number for Shashidhar Kusuma is 1598770430. The last update date is 2010-06-24.
Shashidhar Kusuma's current location address is 8430 W Broward Blvd, Plantation, Florida. You can contact this provider via phone number 9544728355 and fax number 9544728220. The mailing address for Shashidhar Kusuma is 8430 W Broward Blvd, Plantation, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shashidhar Kusuma |
|---|---|
| Address | 8430 W Broward Blvd, Plantation, Florida |
| Phone Number | 9544728355 |
| Fax Number | 9544728220 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1598770430 |
|---|---|
| Provider Enumeration Date | 2006-07-29 |
| Last Updated Date | 2010-06-24 |
Provider Mailing Address Detail
| Address | 8430 W Broward Blvd |
|---|---|
| City | Plantation |
| State | Florida (FL) |
| Post Code | 333242700 |
| Phone Number | 9544728355 |
| Fax Number | 9544728220 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery Within The Head & Neck |
|---|---|
| Taxonomy | 207Yx0007X |
| Licence No | 107122 |
|
Definition: An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissu |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2670104 | OH | -- |
Post Comment/ Review Below
Can you provide the Shashidhar Kusuma's physical address?
The Shashidhar Kusuma is physically located at 8430 W Broward Blvd, in the city of Plantation, FL, with the postal code 333242700.
What is the Shashidhar Kusuma's area of specialization and corresponding taxonomy classification?
The Shashidhar Kusuma's specialty field is Plastic Surgery Within The Head & Neck, and it falls under the taxonomy code 207Yx0007X, which categorizes healthcare providers based on their specialties.
On what date did the Shashidhar Kusuma receive its 1598770430 assignment from the Centers for Medicare & Medicaid Services?
The Shashidhar Kusuma was assigned its 1598770430 by the Centers for Medicare & Medicaid Services on 2006-07-29.
As of what date were the Shashidhar Kusuma's details last updated?
The information pertaining to the Shashidhar Kusuma, including its address, specialty, and other details, was most recently updated on 2010-06-24.
As of what date were the details related to Shashidhar Kusuma most recently updated or revised?
The information pertaining to Shashidhar Kusuma, including its address, specialty, and other relevant details, was last updated or revised on 2010-06-24.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC