Kathiripillai, Ketheeswaran
Kathiripillai, Ketheeswaran is an sole proprietor health care provider with primary practice located at 13067 N Telecom Pkwy , Temple Terrace FL 33637-0926. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kathiripillai, Ketheeswaran can be contacted via phone (813) 779-6303.Contact Information
Primary practice address
13067 N Telecom Pkwy
Temple Terrace FL 33637-0926
Phone: (813) 779-6303
Fax: (888) 977-1998
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME81184 | Florida |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | ME81184 | Florida |
Profile Details
| NPI number | 1972549368 |
|---|---|
| LBN Legal business name | Kathiripillai, Ketheeswaran |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Oct 18th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972549368 | NPPES |
| Florida | Other | 51571 | BCBS |
| Florida | MEDICAID | 259753500 | BCBS |
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