Individual
PANKAJ KHETERPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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