# KS MEDICAL, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295131506
- **Authorized official:** PRAMOD SANGHI MD (PRESIDENT)
- **Authorized official phone:** (734) 626-6735

## Contact information

- **Practice address:** 1721 86TH ST, BROOKLYN, NY 11214-2817
- **Practice address phone:** (718) 331-6064
- **Mailing address:** 1721 86TH ST, BROOKLYN, NY 11214-2817

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/13/2014
- **Last updated:** 12/13/2021
