Individual ProviderRenu Vishwanath KaushikPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address2801 Meadowlark Drive, San Diego, CA 92123(858) 694-4752PECOS EnrollmentBased on the most recent information from CMS, provider Renu Vishwanath Kaushik does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1417984949Provider TypeIndividualFull NameKaushik, Renu VishwanathCredentialMDGenderFemaleSole ProprietorNoEnumeration Date6/28/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address2801 Meadowlark Drive, San Diego, CA 92123Phone(858) 694-4752Fax(858) 514-8425Mailing LocationMailing Address2901 Meadowlark Drive, Msp535, San Diego, CA 92123Phone(858) 694-4752Fax(858) 514-8425Provider TaxonomiesCodeDescriptionLicenseCode2084P0804XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseA67195CaliforniaCode2084P0804XDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicense9473Nevada