Individual provider · Type 1 NPI

Michael Kushner

General Practice Physician · Phoenix, AZ

NPI number 1740930601 Active

Practice location

40 E Indianola Ave
Phoenix, AZ 85012-2019

Mailing address

3100 Channing Way
Idaho Falls, ID 83404-7533

Other practice locations

  • 14010 N Northsight Blvd, Scottsdale, AZ 85260-3601 · (480) 443-0384
  • 2133 E Warner Rd Ste 103, Tempe, AZ 85284-3492 · (480) 636-1417
  • 22601 N 19th Ave Ste 112, Phoenix, AZ 85027-1324 · (602) 293-3277

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X010654 (AZ)
General Practice Physician 208D00000XOS20777 (FL)
General Practice Physician 208D00000X6161277 (ID)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

5 other providers at this address

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About NPI 1740930601

Michael Kushner's National Provider Identifier is 1740930601, issued on Mar 24, 2022. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Phoenix, AZ. The record was last updated on Jan 28, 2026.