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Individual

TARULATA KHULPATEEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4212 HEMPSTEAD TPKE, BETHPAGE, NY 11714-5723
(516) 513-1184
(516) 513-1187
Mailing address
73 PARKVIEW PL, MALVERNE, NY 11565-1147
(516) 599-6142

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
131615
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
84A841
BLUE CROSS
NY
01
AP177
OXFORD
NY
Enumeration date
09/29/2006
Last updated
12/07/2007
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