Organization
J K KANSAL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JATINDER K KANSAL M D (PRESIDENT)
(219) 769-7761
Entity
Organization
Contact information
Practice address
8969 BROADWAY, MERRILLVILLE, IN 46410-7039
(219) 769-7761
(219) 769-0895
Mailing address
8969 BROADWAY, MERRILLVILLE, IN 46410-7039
(219) 769-7761
(219) 769-0895
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
50005027A
IN
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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