Khetpal, Vikram

Khetpal, Vikram is an individual health care provider with primary practice located at 3970 Deputy Bill Cantrell Memorial Rd Suite 100, Cumming GA 30040. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Khetpal, Vikram can be contacted via phone (678) 513-2273.

Contact Information

Primary practice address
3970 Deputy Bill Cantrell Memorial Rd Suite 100 Cumming GA 30040
Phone: (678) 513-2273
Fax: (678) 513-8869
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 21287 Alabama
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 57757 Georgia

Profile Details

NPI number 1942281761
LBN Legal business name Khetpal, Vikram
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Jun 13th, 2016 - about 10 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 1942281761 NPPES
Georgia MEDICAID 499957792A
Georgia MEDICAID 000034969
Georgia MEDICAID 00119609

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