PREMAL KHETIA MD NPI 1285667295

NPI Information

  • NPI: 1285667295
  • Provider Name: PREMAL KHETIA, MD
  • Classification: Otolaryngology - 207YS0123X
  • Specialization: Facial Plastic Surgery
  • Entity Type: Individual
  • Address: 1023 E CHERRY ST
    SUITE B
    CUSHING, OK
    ZIP 74023
  • Phone: (918) 225-1165

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NPI Details

Premal Khetia, MD is a facial plastic surgery otolaryngology in Cushing, OK. The provider is an otolaryngologist who specializes in facial plastic surgery. Premal Khetia, MD NPI is 1285667295. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1023 E CHERRY ST
SUITE B
CUSHING, OK
ZIP 74023-105
Phone: (918) 225-1165
Fax: (918) 225-1953

The enumeration date for this NPI number is 7/10/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207YS0123XOtolaryngologyFacial Plastic Surgery23518OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F83078MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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