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NPI Code Detail

MEDICARE: DR. ANUJ KHETARPAL MD

MEDICARE: DR. ANUJ KHETARPAL MD
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
1207L00000XAnesthesiology Physician4351047006MI
2207L00000XAnesthesiology Physician036177204IL

General Provider Information

NPI Number : 1740800457
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANUJ KHETARPAL MD
Provider Business Mailing Address
First Line : 444 S SAN VINCENTE BLVD
Second Line : SUITE 1101
City : LOS ANGELES
State : CA
Zip : 90048
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 155 E. BRUSH HILL RD.
Second Line : DEPARTMENT OF ANESETHESIA
City : ELMHURST
State : IL
Zip : 60126-5658
Country : US
Telephone Number : 331-221-3521
Fax Number : 331-221-3827
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2020
Last Update Date : 04/17/2026

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