# MINOO KHETARPAL MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811934193
- **Authorized official:** MINOO KHETARPAL M.D. (OWNER)
- **Authorized official phone:** (989) 755-5500

## Contact information

- **Practice address:** 1320 N MICHIGAN AVE, SUITE 4, SAGINAW, MI 48602-4751
- **Practice address phone:** (989) 755-5500
- **Mailing address:** 4449 FASHION SQUARE BLVD, SAGINAW, MI 48603-5217
- **Mailing address phone:** (989) 790-0007
- **Mailing address fax:** (989) 790-7547

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/02/2006
- **Last updated:** 01/24/2013
