Provider Demographics
NPI:1245519461
Name:KANSAL, RISHAV (MD)
Entity type:Individual
Prefix:
First Name:RISHAV
Middle Name:
Last Name:KANSAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:770 N COIT RD
Mailing Address - Street 2:SUITE 2486
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-5426
Mailing Address - Country:US
Mailing Address - Phone:972-690-1922
Mailing Address - Fax:972-235-1068
Practice Address - Street 1:770 N COIT RD
Practice Address - Street 2:SUITE 2486
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-5426
Practice Address - Country:US
Practice Address - Phone:972-690-1922
Practice Address - Fax:972-235-1068
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-04
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ5674207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology