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Individual

MR. EMIL MITTER KHETERPAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3821 ED DRIVE, RALEIGH, NC 27612
(918) 863-9441
(919) 863-9442
Mailing address
3821 ED DRIVE, RALEIGH, NC 27612
(918) 863-9441
(919) 863-9442

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
262361
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03431394
NY
Enumeration date
05/23/2007
Last updated
09/20/2019
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