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:
Health care specialties
| Specialty | Code | License # | 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 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972730547 | NPPES |
| Missouri | MEDICAID | 200042219 |
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