Kansagra Md, Pravin J

Kansagra Md, Pravin J is an individual health care provider with primary practice located at 1020 S Anaheim Blvd Suite 215, Anaheim CA 92805-5851. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Kansagra Md, Pravin J can be contacted via phone (714) 335-8570.

Contact Information

Primary practice address
1020 S Anaheim Blvd Suite 215 Anaheim CA 92805-5851
Phone: (714) 335-8570
Fax: (714) 280-0128
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A446850 California

Profile Details

NPI number 1205861614
LBN Legal business name Kansagra Md, Pravin J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Sep 2nd, 2010 - about 14 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 1205861614 NPPES
California Other 4584291 AETNA
California MEDICAID 00A446850 AETNA
California Other 00A446850 AETNA
California Other 00A446850 AETNA

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