BHUSHAN KUKKALLI (NPI# 1871579276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871579276 |
| Entity Type | Individual |
| Full Name | BHUSHAN KUKKALLI |
| Credential | M.D. |
| Practice Address |
6565 Fannin St. Methodist Hospital Houston TX 77030 |
| Mailing Address |
5221 Pine St Bellaire TX 77401-4820 |
| Practice Telephone | 9723931140 |
| Practice Fax Number | 9723937933 |
| Mailing Telephone | 7136690807 |
| Mailing Fax Number | 7136690807 |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2010-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | L2391 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 148071705 | 05 | |
| TX | BCBSTX PROV NO | 8F8317 | 01 |
| TX | 148071703 | 05 |
| Street Address |
6565 FANNIN ST. METHODIST HOSPITAL |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255710802 | Spandana Jagannath Brown | Internal Medicine | 6565 Fannin St., Houston, TX 77030 | 2015-05-28 |
| 1922405596 | Ramita Suwal Dangol | Nurse Practitioner | 6565 Fannin St., 2030 - M4nw, Houston, TX 77030 | 2014-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
| Find all providers in zip 77030 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871129247 | Texmed Corp | Emergency Medicine | 14770 Memorial Drive Suite 100, Houston, TX 77079-5252 | 2020-03-18 |
| 1548894751 | Emergency Medicine Physician of Houston | Emergency Medicine | 4000 Washington Ave Ste 100, Houston, TX 77007-5676 | 2020-02-26 |
| 1912472929 | Bellaire Emergency Center, LLC | Emergency Medicine | 5413 S Rice Ave, Houston, TX 77081-2113 | 2018-10-05 |
| 1295200202 | Copperfield Emergency Center, LLC | Emergency Medicine | 5835 Highway 6 N, Houston, TX 77084-1833 | 2018-10-05 |
| 1285109298 | 1960 Emergency Center, LLC | Emergency Medicine | 5003 Cypress Creek Pkwy, Houston, TX 77069-4502 | 2018-10-05 |
| 1992294748 | Khalid Mohammed S Alhamdan | Emergency Medicine | 1504 Taub Loop # I, Houston, TX 77030-1608 | 2018-05-08 |
| 1861981920 | Chloe Woodington | Emergency Medicine | 1504 Taub Loop Emergency Center, Houston, TX 77030 | 2018-05-04 |
| 1497250757 | Westchase Emergency Center, LLC | Emergency Medicine | 11103 Westheimer Rd, Houston, TX 77042 | 2018-03-28 |
| 1932617768 | Medexpress Urgent Care Texas, P.a. | Emergency Medicine | 13550 East Fwy, Houston, TX 77015-5926 | 2018-01-15 |
| 1396251781 | Medexpress Urgent Care Texas, P.a. | Emergency Medicine | 16307 Fm 529 Road, Houston, TX 77095-1417 | 2017-12-20 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.