Individual
DR. J K KANSAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., P.C.
Contact information
Practice address
8969 BROADWAY, MERRILLVILLE, IN 46410-7039
(219) 769-7761
(219) 769-0895
Mailing address
8969 BROADWAY, MERRILLVILLE, IN 46410-7039
(219) 769-7761
(219) 769-0895
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
50005027
IN
Other
Enumeration date
11/08/2006
Last updated
02/06/2009
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