Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Prashant Khetpal, MD

Individual provider Internal Medicine Physician · NPI 1215136148

Prashant Khetpal, MD is an Internal Medicine in Mesa, Arizona. Qualified in 2002, 24 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
24
Licensed in
WA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6644 E Baywood Ave
Mesa, AZ 85206-1747
Phone: (602) 778-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 129407 (WA)

Record details

NPI number1215136148
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 11, 2007
Last updated in NPPESFebruary 4, 2022
Certification dateFebruary 4, 2022
Mailing addressPo Box 708850, Sandy, UT 84070-8850

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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