Individual
JAGAN K KANSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
01097404A
IN
208800000X
Urology Physician
Primary
036-153180
IL
208800000X
Urology Physician
70572
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942611694
—
WI
05
—
300116993
—
IN
Enumeration date
05/15/2014
Last updated
12/16/2025
Update your record
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