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General NPI Number Information
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NPI Number | 1740800457
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Entity Type | Individual
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Provider Name | ANUJ KHETARPAL MD
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Gender | Male
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Dates
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Enumeration Date | 04/22/2020
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 155 E. BRUSH HILL RD. DEPARTMENT OF ANESETHESIA
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City | ELMHURST
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State | IL
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Zip | 60126-5658
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Country | US
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Telephone | 331-221-3521
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Fax | 331-221-3827
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Provider Business Mailing Address
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Address Line | 444 S SAN VINCENTE BLVD SUITE 1101
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City | LOS ANGELES
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State | CA
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Zip | 90048
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Country | US
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Telephone |
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Fax |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 4351047006
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 036177204
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License Number State | IL
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