Individual
KANWALJIT S. MAHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6102 82ND ST, SUITE 5, LUBBOCK, TX 79424-0802
(806) 771-0077
(806) 771-3175
Mailing address
6102 82ND ST, SUITE 5, LUBBOCK, TX 79424-0802
(806) 771-0077
(806) 771-3175
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
M4316
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186224502
—
TX
01
—
8DD063
BCBS
TX
Enumeration date
08/31/2006
Last updated
03/10/2025
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