Kansagra, Ketan

Kansagra, Ketan is an individual health care provider with primary practice located at 254 Easton Ave , New Brunswick NJ 08901-1766. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Kansagra, Ketan can be contacted via phone (732) 745-8600.

Contact Information

Primary practice address
254 Easton Ave New Brunswick NJ 08901-1766
Fax: (732) 249-9572
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X MA76166 New Jersey

Profile Details

NPI number 1609839331
LBN Legal business name Kansagra, Ketan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609839331 NPPES
New Jersey MEDICAID 0006670

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