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Pavinarmatha Ketheeswaran, MD
Family Medicine Physician in Providence, Rhode Island
NPI 1962066878

Pavinarmatha Ketheeswaran is a Family Medicine Physician based in Providence, RI. Pavinarmatha Ketheeswaran practices in Providence, RI and has the professional credentials of MD. The NPI Number for Pavinarmatha Ketheeswaran is 1962066878 and holds a License No. LP04636 (Rhode Island).

The current practice location address for Pavinarmatha Ketheeswaran is 40 Candace St, Providence, RI and can be reached out via phone at 401-444-0550 and via fax at 401-444-0425.

Location: 40 Candace St, Providence, RI, 02905-5010
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962066878
Provider Name
Pavinarmatha Ketheeswaran
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
40 Candace St, Providence, RI, 02905-5010
Phone Number
401-444-0550
Fax Number
401-444-0425
Provider Enumeration Date
04/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
40 Candace St
City
Providence
State
Rhode Island
Zip
02908-3747
Phone Number
401-444-0550
Fax Number
401-444-0425
person
Provider Business Mailing Address Details
Address
40 Candace St
City
Providence
State
Rhode Island
Zip
02908-3747
Phone Number
401-444-0550
Fax Number
401-444-0425
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
LP04636 (Rhode Island)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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