National Provider Identifier
Prem K Kansal
Prem K Kansal is listed in the NPPES registry with a primary specialty of Psychiatry Physician in Buffalo, NY and a listed phone number of (718) 221-4500.
Profile Overview
- NPI
- 1396866216
- Provider Type
- Individual
- Primary Specialty
- Psychiatry Physician
- Enumeration Date
- April 02, 2007
- Last Updated
- October 04, 2018
Practice Location
- 400 Forest Aveneue
- Buffalo, NY 14213
Phone: (718) 221-4500
Mailing Address
- 445 Winn Way
- Decatur, GA 30030-1707
Specialties
- Psychiatry Physician (2084P0800X)
- Psychiatry Physician (2084P0800X)
Full Record
- NPI
- 1396866216
- Entity Type
- Individual
- Last Name
- Kansal
- First Name
- Prem
- Middle Name
- K
- Mailing Street Address
- 445 Winn Way
- Mailing City
- Decatur
- Mailing State
- GA
- Mailing ZIP Code
- 30030-1707
- Mailing Country
- US
- Mailing Phone
- (404) 294-3745
- Practice Street Address
- 400 Forest Aveneue
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14213
- Practice Country
- US
- Practice Phone
- (718) 221-4500
- Enumeration Date
- April 02, 2007
- Last Updated
- October 04, 2018
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatry Physician (2084P0800X), Psychiatry Physician (2084P0800X)
- Other Identifiers
- 156599 (NY)