Individual provider · Type 1 NPI

Ashtami Vishwanath Banavali, MD

Hematology & Oncology Physician · Ada, OK

NPI number 1902184518 Active

Practice location

430 N Monte Vista St
Ada, OK 74820-4610

Call (580) 421-1141 Map

Fax (580) 421-1224

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XP26486 (MD)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Hematology & Oncology Physician Primary 207RH0003X32636 (OK)

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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About NPI 1902184518

Ashtami Vishwanath Banavali, MD's National Provider Identifier is 1902184518, issued on Jul 31, 2011. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Ada, OK. The record was last updated on Dec 29, 2017.