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General NPI Number Information
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NPI Number | 1306847215
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Entity Type | Individual
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Provider Name | UMANG KHETARPAL M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/02/2005
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Last Update Date | 04/07/2022
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Provider Practice Location Address
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Address Line | 1800 W 26TH ST STE 100
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City | HOUSTON
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State | TX
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Zip | 77008-1450
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Country | US
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Telephone | 832-990-2700
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Fax | 832-789-9400
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Provider Business Mailing Address
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Address Line | 1011 MEDICAL PLAZA DRIVE STE. 100
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City | WOODLANDS
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State | TX
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Zip | 77380
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Country | US
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Telephone | 832-990-2700
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Fax | 832-789-9400
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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License Number | L0330
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License Number State | TX
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