Ketheeswaran, Markandu

Ketheeswaran, Markandu is an individual health care provider with primary practice located at 1209 Cape Ct , Fayetteville NC 28304-4404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Ketheeswaran, Markandu can be contacted via phone (910) 485-7003.

Contact Information

Primary practice address
1209 Cape Ct Fayetteville NC 28304-4404
Phone: (910) 485-7003
Fax: (910) 485-7103
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 9701004 North Carolina

Profile Details

NPI number 1487608725
LBN Legal business name Ketheeswaran, Markandu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated May 25th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487608725 NPPES
North Carolina MEDICAID 891087E
North Carolina Other 01814

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