Khetarpaul, Vipul

Khetarpaul, Vipul is an individual health care provider with primary practice located at 11155 Dunn Rd Div Surg Vascular, Ste 108N, Saint Louis MO 63136-6150. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Khetarpaul, Vipul can be contacted via phone (314) 273-7373.

Contact Information

Primary practice address
11155 Dunn Rd Div Surg Vascular, Ste 108N Saint Louis MO 63136-6150
Phone: (314) 273-7373
Fax: (888) 840-6225
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2019009761 Missouri
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 2019009761 Missouri

Profile Details

NPI number 1972730547
LBN Legal business name Khetarpaul, Vipul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2009
Last updated Apr 25th, 2024 - about 5 months 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 1972730547 NPPES
Missouri MEDICAID 200042219

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