Individual
DR. RAKESH KANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
297 W FRANCISCAN LN., SUITE 202, CROWN POINT, IN 46307
(219) 663-6011
(219) 662-7214
Mailing address
PO BOX 899, SCHERERVILLE, IN 46375-0899
(219) 663-6011
(219) 662-7214
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01038984
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000088461
BCBS OF INDIANA
IN
05
—
100202270
—
IN
01
—
90000984
BCBS OF IL
IL
Enumeration date
09/11/2006
Last updated
05/15/2020
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