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Individual
DR. PRAVIN J KANSAGRA MD
Active
Individual
DR. PRAVIN J KANSAGRA MD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A446850
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A446850
BLUE CROSS
CA
05
—
00A446850
—
CA
01
—
4584291
AETNA
CA
Enumeration date
07/12/2006
Last updated
09/02/2010
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