Individual
PANKAJ KHETERPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 EASTERN BLVD, BALTIMORE, MD 21221-7020
(410) 687-8818
(410) 682-3989
Mailing address
20 HICKORY KNOLL CT, TIMONIUM, MD 21093-4745
(410) 687-8818
(410) 682-3989
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0060560
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1026359400001
MEDICAL ASSISTANCE
PA
01
—
1801813746
BRAVO HEALTH
MD
01
—
300443355001
HEALTHNET FEDERAL SERVICES - TRICARE
SC
01
—
402778700
MEDICAL ASSISTANCE
MD
01
—
618SZBQK
MEDICARE
MD
01
—
N681-0001
CAREFIRST
DC
01
—
P00693651
RAILROAD MEDICARE
GA
Enumeration date
07/16/2006
Last updated
06/27/2025
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