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Premal Khetia, MD
Facial Plastic Surgery Physician in Cushing, Oklahoma
NPI 1285667295

Premal Khetia is a Facial Plastic Surgery Physician based in Tulsa, OK and is specialized in Facial Plastic Surgery. Premal Khetia practices in Cushing, OK and has the professional credentials of MD. The NPI Number for Premal Khetia is 1285667295 and holds a License No. 23518 (Oklahoma).

The current practice location address for Premal Khetia is 1023 E Cherry St, Cushing, OK and can be reached out via phone at 918-225-1165 and via fax at 918-225-1953.

Location: 1023 E Cherry St, Cushing, OK, 74104-4000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285667295
Provider Name
Premal Khetia
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1023 E Cherry St, Cushing, OK, 74104-4000
Phone Number
918-225-1165
Fax Number
918-225-1953
Provider Enumeration Date
07/10/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1023 E Cherry St
City
Cushing
State
Oklahoma
Zip
74023-4105
Phone Number
918-225-1165
Fax Number
918-225-1953
person
Provider Business Mailing Address Details
Address
1023 E Cherry St
City
Cushing
State
Oklahoma
Zip
74023-4105
Phone Number
918-225-1165
Fax Number
918-225-1953
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Facial Plastic Surgery
Taxonomy
207YS0123X
License No.
23518 (Oklahoma)
Definition
An otolaryngologist who specializes in facial plastic surgery.
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