Premal Khetia, MD is a
Otolaryngology - Facial Plastic Surgery physician based in Cushing, Oklahoma. Premal Khetia is licensed to practice in Oklahoma (license number 23518) and his current practice location is 1023 E Cherry St, Suite B, Cushing, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(918) 225-1165.
NPI number for Premal Khetia is 1285667295 and his current mailing address is 1145 S Utica Ave, Suite 110, Tulsa, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285667295.
Physician's Profile
Full Name | Premal Khetia |
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Gender | Male |
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Speciality | Otolaryngology - Facial Plastic Surgery |
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Location | 1023 E Cherry St, Cushing, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1285667295
- Provider Enumeration Date: 07/10/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Premal Khetia such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285667295 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207YS0123X | Otolaryngology - Facial Plastic Surgery | 23518 (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Premal Khetia is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Premal Khetia, MD 1145 S Utica Ave, Suite 110, Tulsa, OK 74104-4000 Ph: (918) 579-3825 | Premal Khetia, MD 1023 E Cherry St, Suite B, Cushing, OK 74023-4105 Ph: (918) 225-1165 |
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