Premal Khetia
Facial Plastic Surgeon
1023 E Cherry St Suite B
Cushing
, Oklahoma 74023-4105
Premal Khetia
Facial Plastic Surgeon
1023 E Cherry St Suite B
Cushing
, Oklahoma 74023-4105
(918) 579-1262
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About
Features
Specialties
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Premal Khetia
- 1145 S Utica Ave Suite 110
- Tulsa, OK
- Zip : 74104-4000
- Fax : (918) 579-1262
- Phone : (918) 579-3825
Second Address
- Premal Khetia
- 1023 E Cherry St Suite B
- Cushing, OK
- Zip : 74023-4105
- Fax : (918) 225-1953
- Phone : (918) 225-1165
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FAQs
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Is Premal Khetia accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YS0123X | Facial Plastic Surgeon | 23518 | OK |
National Provider Identifier
| NPI | 1285667295 |
|---|---|
| Provider Name | Premal Khetia |
| First Address | Tulsa, OK 74104-4000 |
| Second Address | Cushing, OK 74023-4105 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F83078 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.