Individual provider · Type 1 NPI

Pavinarmatha Ketheeswaran, MD

Family Medicine Physician · Providence, RI

NPI number 1962066878 Active

Practice location

40 Candace St
Providence, RI 02908-3747

Call (401) 444-0550 Map

Fax (401) 444-0425

Mailing address

375 Allens Ave
Providence, RI 02905-5010

Other practice locations

  • 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 · (813) 397-5300

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Family Medicine Physician 207Q00000XLP04636 (RI)
Family Medicine Physician Primary 207Q00000XME179335 (FL)
Family Medicine Physician 207Q00000XMD18615 (RI)

Family Medicine Physician: 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.

22 other providers at this address

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About NPI 1962066878

Pavinarmatha Ketheeswaran, MD's National Provider Identifier is 1962066878, issued on Apr 25, 2019. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Providence, RI. The record was last updated on Jul 8, 2026.