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NPI Code Detail

MEDICARE: VISHAL KHULLAR

MEDICARE: VISHAL KHULLAR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician64474MN

General Provider Information

NPI Number : 1427467984
Entity Type Code : Individual
Provider Name (Legal Business Name) : VISHAL KHULLAR
Provider Business Mailing Address
First Line : 200 1ST ST SW
Second Line :
City : ROCHESTER
State : MN
Zip : 55905-0001
Country : US
Telephone Number : 507-284-2511
Fax Number :
Provider Business Practice Location Address
First Line : 200 1ST ST SW
Second Line : ROCHESTER MN 55905 - 0001 507 284 2511
City : ROCHESTER
State : MN
Zip : 55905-0001
Country : US
Telephone Number : 507-284-2511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2014
Last Update Date : 11/29/2022

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Directions to “ VISHAL KHULLAR ” Practice Location

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