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Individual

UMANG KHETARPAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1800 W 26TH ST STE 100, HOUSTON, TX 77008-1450
(832) 990-2700
(832) 789-9400
Mailing address
1011 MEDICAL PLAZA DRIVE, STE. 100, WOODLANDS, TX 77380
(832) 990-2700
(832) 789-9400

Taxonomy

Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
L0330
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
040015446
MEDICARE PIN (RAILROAD)
TX
05
044807801
TX
01
8A1410
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/02/2005
Last updated
04/07/2022
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