Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | A73784 | CA |
N | 208600000X | Surgeon | A73784 | CA |
N | 2086S0129X | Vascular Surgeon | A73784 | CA |
NPI | 1144278805 |
---|---|
Provider Name | Dr. Nikhil Kansal |
First Address | San Diego, CA 92103-8403 |
Second Address | San Diego, CA 92103-8201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A737840 | (05) | CA |
H64797 | (02) |