Individual
MR. RAMESHWARNAIK KETHAVATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 NE 13TH ST, OAC 200, OKLAHOMA CITY, OK 73104-5010
(405) 271-4351
Mailing address
1122 NE 13TH ST, ORI 236, OKLAHOMA CITY, OK 73117-1039
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
10242
ND
207L00000X
Anesthesiology Physician
Primary
27387
OK
207L00000X
Anesthesiology Physician
41645
KY
207L00000X
Anesthesiology Physician
MD28128
ME
207L00000X
Anesthesiology Physician
MD430541
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018630480001
—
PA
05
—
13805
—
ND
05
—
1609809995
—
ME
05
—
7100032050
—
KY
Enumeration date
07/09/2006
Last updated
07/02/2024
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