Provider Demographics
NPI:1447542238
Name:KAUSHAL, NEAL KUNAL (MD, MBA)
Entity type:Individual
Prefix:DR
First Name:NEAL
Middle Name:KUNAL
Last Name:KAUSHAL
Suffix:
Gender:M
Credentials:MD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3001 QUAIL SPRINGS PKWY FL 5
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-2640
Mailing Address - Country:US
Mailing Address - Phone:405-657-3704
Mailing Address - Fax:405-657-3892
Practice Address - Street 1:4509 INTEGRIS PKWY STE 300
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-8696
Practice Address - Country:US
Practice Address - Phone:405-657-3704
Practice Address - Fax:405-657-3892
Is Sole Proprietor?:No
Enumeration Date:2011-05-11
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK42319207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty