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Individual

AKASH KHETPAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2730
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2730

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036168461
IL

Other

Enumeration date
07/12/2021
Last updated
11/27/2024
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