Ketheeswaran, Pavinarmatha

Ketheeswaran, Pavinarmatha is an individual health care provider with primary practice located at 40 Candace St , Providence RI 02908-3747. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Ketheeswaran, Pavinarmatha can be contacted via phone (401) 444-0550.

Contact Information

Primary practice address
40 Candace St Providence RI 02908-3747
Phone: (401) 444-0550
Fax: (401) 444-0425
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X LP04636 Rhode Island
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD18615 Rhode Island

Profile Details

NPI number 1962066878
LBN Legal business name Ketheeswaran, Pavinarmatha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2019
Last updated Dec 13th, 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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