Provider Demographics
NPI:1528625951
Name:NAUSHA, KADIE MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:KADIE
Middle Name:MARIE
Last Name:NAUSHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71687 HIGHWAY 111 STE 101
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-4515
Mailing Address - Country:US
Mailing Address - Phone:760-340-4566
Mailing Address - Fax:760-340-2481
Practice Address - Street 1:71687 HIGHWAY 111 STE 101
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-4515
Practice Address - Country:US
Practice Address - Phone:760-340-4566
Practice Address - Fax:760-340-2481
Is Sole Proprietor?:No
Enumeration Date:2019-05-21
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CAA204117207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program