Individual
KAVITA BHAGAWANJI KANSAGRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
584 N GERMANTOWN PKWY, SUITE # 110, CORDOVA, TN 38018-5211
(901) 753-7686
(901) 753-2120
Mailing address
584 N GERMANTOWN PKWY, SUITE # 110, CORDOVA, TN 38018-5211
(901) 753-7686
(901) 753-2120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44121
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7875097
—
MS
Enumeration date
10/14/2008
Last updated
02/22/2013
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