Individual
KANU B DALAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 PINE GROVE AVE, RADIOLOGY DEPT, PORT HURON, MI 48060-3511
(810) 987-5000
(810) 985-0032
Mailing address
1221 PINE GROVE AVE, RADIOLOGY DEPT, PORT HURON, MI 48060-3511
(810) 987-5000
(810) 985-0032
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
4301042934
MI
2085R0202X
Diagnostic Radiology Physician
042934
MI
2085R0203X
Therapeutic Radiology Physician
4301042934
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1947181
—
MI
Enumeration date
08/12/2006
Last updated
09/25/2013
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