Individual
ERIC A KHETIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1185 TOWN CENTRE DR STE 100, EAGAN, MN 55123-1188
(651) 968-5230
(651) 994-3982
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4919
(651) 968-5042
(651) 968-5904
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
49168
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00340061
RAILROAD MEDICARE
MN
Enumeration date
01/18/2006
Last updated
07/02/2015
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