Individual
VAISHALI KHETARPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4011 N 51ST AVE, PHOENIX, AZ 85031-2601
(623) 344-6900
Mailing address
4011 N 51ST AVE, PHOENIX, AZ 85031-2601
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.127215
OH
390200000X
Student in an Organized Health Care Education/Training Program
5315060606
MI
Other
Enumeration date
07/16/2012
Last updated
03/19/2016
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