Premal Khetia, MD | |
1023 E Cherry St, Suite B, Cushing, OK 74023-4105 | |
(918) 225-1165 | |
(918) 225-1953 |
Full Name | Premal Khetia |
---|---|
Gender | Male |
Speciality | Otolaryngology - Facial Plastic Surgery |
Location | 1023 E Cherry St, Cushing, Oklahoma |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285667295 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207YS0123X | Otolaryngology - Facial Plastic Surgery | 23518 (Oklahoma) | Primary |
Mailing Address | Practice Location Address |
---|---|
Premal Khetia, MD 1145 S Utica Ave, Suite 110, Tulsa, OK 74104-4000 Ph: (918) 579-3825 | Premal Khetia, MD 1023 E Cherry St, Suite B, Cushing, OK 74023-4105 Ph: (918) 225-1165 |
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