Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shashidhar Kusuma, MD

Individual provider Plastic Surgery Physician · NPI 1598770430

Shashidhar Kusuma, MD is a Plastic Surgery Physician in Plantation, Florida. Licensed in Florida and Ohio. Registered with an NPI since 2006.

Licensed in
FL, OH
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8430 W Broward Blvd Ste 200
Plantation, FL 33324-2700
Phone: (954) 472-8355
Fax: (954) 472-8220
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Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 107122 (FL)
Plastic Surgery Physician Taxonomy 208200000X · Licence 35088257 (OH)
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Taxonomy 207YX0007X · Licence 107122 (FL)

Record details

NPI number1598770430
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 29, 2006
Last updated in NPPESJune 24, 2010
Mailing address8430 W Broward Blvd, Suite 200, Plantation, FL 33324-2700

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