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Individual

BEENA KHETPAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
22590 SHADY CT, CALIFORNIA, MD 20619-5009
(301) 373-7900
(301) 373-6900
Mailing address
22590 SHADY CT, CALIFORNIA, MD 20619-5009
(301) 373-7900
(301) 373-6900

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0055067
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
175701600
MD
01
370017638
MEDICARE RAILROAD
MD
Enumeration date
07/11/2006
Last updated
12/09/2021
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