Individual
AKASH PRAVIN KANSAGRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
2014008996
MO
2085N0700X
Neuroradiology Physician
Primary
A114756
CA
2085R0202X
Diagnostic Radiology Physician
A114756
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200030634
—
MO
Enumeration date
06/30/2009
Last updated
04/18/2025
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