Dalal, Kanu B

Dalal, Kanu B is an individual health care provider with primary practice located at 1221 Pine Grove Ave Radiology Dept, Port Huron MI 48060-3511. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Therapeutic Radiology, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Dalal, Kanu B can be contacted via phone (810) 987-5000.

Contact Information

Primary practice address
1221 Pine Grove Ave Radiology Dept Port Huron MI 48060-3511
Phone: (810) 987-5000
Fax: (810) 985-0032
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 042934 Michigan
Allopathic & Osteopathic Physicians / Therapeutic Radiology 2085R0203X 4301042934 Michigan
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 4301042934 Michigan

Profile Details

NPI number 1215949060
LBN Legal business name Dalal, Kanu B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Sep 25th, 2013 - about 13 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 1215949060 NPPES
Michigan MEDICAID 1947181

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