Individual
JANAKKUMAR PRAVINCHANDRA KANSAGRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1714 W ANKLAM RD STE 104, TUCSON, AZ 85745-2661
(520) 624-8935
(520) 624-0053
Mailing address
3709 N CAMPBELL AVE STE 201, TUCSON, AZ 85719-1563
(520) 838-2122
(520) 838-2245
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
56369
AZ
207RI0011X
Interventional Cardiology Physician
Primary
56369
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
388995
—
AZ
Enumeration date
11/09/2010
Last updated
07/10/2019
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