Individual provider · Type 1 NPI

Premal Khetia, MD

Facial Plastic Surgery Physician · Cushing, OK

NPI number 1285667295 Active

Practice location

1023 E Cherry St, Suite B
Cushing, OK 74023-4105

Call (918) 225-1165 Map

Fax (918) 225-1953

Mailing address

1145 S Utica Ave, Suite 110
Tulsa, OK 74104-4000

Specialties and licenses

TaxonomyCodeLicense
Facial Plastic Surgery Physician Primary 207YS0123X23518 (OK)

Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.

4 other providers at this address

About NPI 1285667295

Premal Khetia, MD's National Provider Identifier is 1285667295, issued on Jul 10, 2006. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Cushing, OK. The record was last updated on Jul 8, 2007.