Provider Demographics
NPI:1184883415
Name:KANSAL, NAMITA G (MD)
Entity type:Individual
Prefix:DR
First Name:NAMITA
Middle Name:G
Last Name:KANSAL
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Gender:F
Credentials:MD
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Mailing Address - Street 1:375 LAGUNA HONDA BLVD
Mailing Address - Street 2:LAGUNA HONDA HOSPITAL AND REHABILITATION CENTER
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94116-1411
Mailing Address - Country:US
Mailing Address - Phone:415-759-3007
Mailing Address - Fax:415-242-5937
Practice Address - Street 1:375 LAGUNA HONDA BLVD
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94116-1411
Practice Address - Country:US
Practice Address - Phone:415-759-3007
Practice Address - Fax:415-242-5937
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-02
Last Update Date:2013-03-13
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Provider Licenses
StateLicense IDTaxonomies
CAA100883207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine