Individual
DR. VIPUL KUBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3950 S EASTERN AVE, SUITE 120, LAS VEGAS, NV 89119-5174
(702) 629-3146
(702) 527-5966
Mailing address
3950 S EASTERN AVE, SUITE 120, LAS VEGAS, NV 89119-5174
(702) 629-3146
(702) 527-5966
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1311
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1311
STATE LICENSE
NV
Enumeration date
10/02/2006
Last updated
09/02/2016
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