| Sushil Puskur Md Pa | |
|
1740 Se 18th St Suite 802 Ocala FL 34471-5408 | |
| (352) 369-3100 | |
| (352) 369-3101 |
| Full Name | Sushil Puskur Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1740 Se 18th St, Ocala, Florida |
| Authorized Official Name and Position | Sushil Puskur (PRESIDENT) |
| Authorized Official Contact | 3523693100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sushil Puskur Md Pa 1740 Se 18th St Suite 802 Ocala FL 34471-5408 Ph: (352) 369-3100 | Sushil Puskur Md Pa 1740 Se 18th St Suite 802 Ocala FL 34471-5408 Ph: (352) 369-3100 |
| NPI Number | 1861895831 |
|---|---|
| Provider Enumeration Date | 10/03/2014 |
| Last Update Date | 10/02/2015 |
| Medicare PECOS PAC ID | 3274833777 |
|---|---|
| Medicare Enrollment ID | O20151207001564 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861895831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME 99963 (Florida) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | ME 99963 (Florida) | Secondary |
| Provider Name | Sushil R Puskur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417021783 PECOS PAC ID: 5294896684 Enrollment ID: I20081203000746 |
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