Banavali, Ashtami Vishwanath

Banavali, Ashtami Vishwanath is an individual health care provider with primary practice located at 430 N Monte Vista St , Ada OK 74820-4610. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Banavali, Ashtami Vishwanath can be contacted via phone (580) 421-1141.

Contact Information

Primary practice address
430 N Monte Vista St Ada OK 74820-4610
Phone: (580) 421-1141
Fax: (580) 421-1224
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X P26486 Maryland
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X New York
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 32636 Oklahoma

Profile Details

NPI number 1902184518
LBN Legal business name Banavali, Ashtami Vishwanath
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2011
Last updated Dec 29th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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