Individual
VIPIN KHETARPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1015 S WASHINGTON AVE, SAGINAW, MI 48601-2556
(989) 754-3000
(989) 755-1365
Mailing address
1015 S. WASHINGTON AVE., SAGINAW, MI 48601
(989) 754-3000
(989) 755-1365
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301062327
MI
207RC0000X
Cardiovascular Disease Physician
Primary
4301062327
MI
207RI0011X
Interventional Cardiology Physician
4301062327
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09885594
HEALTHPLUS OF MICHIGAN
—
01
—
1003216
MCLAREN HEALTHPLAN
—
01
—
110192800
RR MEDICARE
—
01
—
123064
GREAT LAKES HEALTH PLAN
—
01
—
381908328
PPOM
—
01
—
381908328112
CCM OF MICHIGAN
—
01
—
4122001
MOLINA HEALTH CARE MI
—
01
—
700G361110
BLUE CARE NETWORK MI
—
01
—
7151013
AETNA UNDER ID 381908328
—
05
—
TYPE 77
—
MI
Enumeration date
07/06/2006
Last updated
03/29/2021
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