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Koushik Kasanagottu, MD
Internal Medicine Physician in San Bernardino, California
NPI 1033601844

Koushik Kasanagottu is a Internal Medicine Physician based in Frisco, CA. Koushik Kasanagottu practices in San Bernardino, CA and has the professional credentials of MD. The NPI Number for Koushik Kasanagottu is 1033601844 and holds a License No. (California).

The current practice location address for Koushik Kasanagottu is 1700 N Waterman Ave, San Bernardino, CA and can be reached out via phone at 909-883-8611.

Location: 1700 N Waterman Ave, San Bernardino, CA, 75035-0968
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033601844
Provider Name
Koushik Kasanagottu
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1700 N Waterman Ave, San Bernardino, CA, 75035-0968
Phone Number
909-883-8611
Fax Number
Provider Enumeration Date
06/06/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1700 N Waterman Ave
City
San Bernardino
State
California
Zip
92404-5115
Phone Number
909-883-8611
Fax Number
person
Provider Business Mailing Address Details
Address
1700 N Waterman Ave
City
San Bernardino
State
California
Zip
92404-5115
Phone Number
909-883-8611
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
287694 (Massachusetts)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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