Individual
VIKRAM KHETPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3970 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 100, CUMMING, GA 30040
(678) 513-2273
(678) 513-8869
Mailing address
3970 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 100, CUMMING, GA 30040
(678) 513-2273
(678) 513-8869
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
21287
AL
207RC0000X
Cardiovascular Disease Physician
Primary
57757
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000034969
—
AL
05
—
00119609
—
MS
05
—
499957792A
—
GA
Enumeration date
11/09/2005
Last updated
06/13/2016
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