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Jatinder K Kansal

  • Male

Medical Specialty

Professional ID

  • NPI: 1033289129
  • PECOS ID: 4486694882
  • Enrollment ID: I20050505000119
  • Credential(MD, DO, DPM): MD
  • Medical School:
  • Medical School Graduation Year: 1975

Hospital Service

  • Hospital CCN1: 150002
  • Business Name (LBN)1: Methodist Hospitals Inc
  • Hospital CCN2: 150034
  • Business Name (LBN)2: St Mary Medical Center Inc

Medical Practices

  • Organization Name: Jk Kansal Md Pc
  • Group Practice ID assigned by PECOS: 6305002668
  • Number of Group Practice member: 0

Location

  • Address1: 8969 Broadway
  • Address2:
  • City: Merrillville
  • State: Indiana
  • Zip Code: 46410
  • Phone Number: (219)769-7761

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):