KUSH NIGAM PATHAK DO
NPI 1104677426
Student in an Organized Health Care Education/Training Program in Lawrenceville, GA

Active since March 27, 2024PECOS Enrolled
665 DULUTH HWY STE 401, LAWRENCEVILLE, GA 30046(678) 312-0450 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kush Nigam Pathak Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KUSH NIGAM PATHAK DO (NPI 1104677426) is an individual student in an organized health care education/training program in Lawrenceville, Georgia and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104677426
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKUSH NIGAM PATHAKCredential: DO
Location Address665 DULUTH HWY STE 401Lawrenceville, GA 30046-4303
Mailing AddressPo Box 1190Lawrenceville, GA 30046-1190
Sole ProprietorNo
Enumeration DateMarch 27, 2024
NPPES CertifiedMarch 27, 2024
NPI 1104677426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
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.

665 DULUTH HWY STE 401, Lawrenceville, GA 30046

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kush Nigam Pathak Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
665 DULUTH HWY STE 401
LAWRENCEVILLE, GA 30046
Student in an Organized Health Care Education/Training Program
665 DULUTH HWY STE 401
LAWRENCEVILLE, GA 30046
Student in an Organized Health Care Education/Training Program
665 DULUTH HWY STE 401
LAWRENCEVILLE, GA 30046
Student in an Organized Health Care Education/Training Program
665 DULUTH HWY STE 401
LAWRENCEVILLE, GA 30046
Nurse Practitioner (Family)
665 DULUTH HWY STE 401
LAWRENCEVILLE, GA 30046
Internal Medicine (Nephrology)
665 DULUTH HWY STE 401
LAWRENCEVILLE, GA 30046
Student in an Organized Health Care Education/Training Program
665 DULUTH HWY STE 401
LAWRENCEVILLE, GA 30046
Family Medicine
665 DULUTH HWY STE 401
LAWRENCEVILLE, GA 30046

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104677426, enumerated as an "individual" on March 27, 2024.

The provider is located at 665 DULUTH HWY STE 401 LAWRENCEVILLE, GA 30046 and the phone number is (678) 312-0450.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.