Individual
VIPUL DHARAMSHI KHANPARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 PINE GROVE AVE, PORT HURON, MI 48060-3511
(810) 989-3300
(810) 985-2671
Mailing address
1221 PINE GROVE AVE, PORT HURON, MI 48060-3511
(810) 989-3300
(810) 985-2671
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301116733
MI
207P00000X
Emergency Medicine Physician
50209
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34791600
—
WI
01
—
P00414061
MEDICARE RAILROAD
WI
Enumeration date
06/18/2007
Last updated
08/06/2019
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