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Individual

DR. VIKRAM PALKAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1075 N CURTIS RD STE 101, BOISE, ID 83706-1348
(208) 302-2800
(208) 302-2825
Mailing address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-1172

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
0102208783
VA
2086S0129X
Vascular Surgery Physician
25MB09673900
NJ
2086S0129X
Vascular Surgery Physician
O-1950
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0575640
NJ
Enumeration date
10/22/2014
Last updated
08/27/2024
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