Individual
KANCHAN PHALAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
BB20036710
TX
2085R0202X
Diagnostic Radiology Physician
P5874
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
346759901
—
TX
Enumeration date
03/01/2011
Last updated
04/15/2025
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