J.k.kansal MD PC

NPI #1104181692 in Merrillville, Indiana

Provider Information

NPI Number: 1104181692
Entity Type: Organization
Organization Name: J.k.kansal MD PC
Primary Specialty: Specialist
Enumeration Date: Jul 10, 2012
Last Updated: Jul 10, 2012

Practice Location

Address: 8969 BROADWAY
City: Merrillville
State: Indiana
ZIP Code: 46410-7039
Phone: (219) 769-7761

Authorized Official

Name: DR. JATINDER K KANSAL I, M.D.
Title: PRESIDENT
Phone: (219) 769-7761

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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