Individual
DR. PRAVEEN H. KESHAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
69 ALLEN ST, SUITE 15, RUTLAND, VT 05701
(802) 775-0038
(802) 747-0602
Mailing address
69 ALLEN ST, SUITE 15, RUTLAND, VT 05701
(802) 775-0038
(802) 747-0602
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
042-0011190
VT
Other
Enumeration date
07/14/2006
Last updated
06/17/2009
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