Individual
VIKAS KHULLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TRN17319
FL
207RG0100X
Gastroenterology Physician
Primary
68025-20
WI
Other
Enumeration date
06/26/2012
Last updated
08/02/2023
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