Provider Demographics
NPI:1245400167
Name:PANCHAL, RIPUL RAJEN (DO)
Entity Type:Individual
Prefix:DR
First Name:RIPUL
Middle Name:RAJEN
Last Name:PANCHAL
Suffix:
Gender:M
Credentials:DO
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:13136 DALLAS PKWY STE 540A
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-4247
Mailing Address - Country:US
Mailing Address - Phone:972-806-1188
Mailing Address - Fax:888-843-8304
Practice Address - Street 1:13136 DALLAS PKWY STE 540A
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-4247
Practice Address - Country:US
Practice Address - Phone:972-806-1188
Practice Address - Fax:888-843-8304
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-06
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A9785207T00000X
TXR3397207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty