PREMAL KHETIA MD
NPI 1285667295
Otolaryngology - Facial Plastic Surgery in Cushing, OK

Q: What is Premal Khetia's NPI number?

The NPI number for Premal Khetia is 1285667295. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Q: What is Premal Khetia's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Q: When was this NPI record last updated?

The NPPES record for Premal Khetia was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 10, 2006

1023 E CHERRY ST, SUITE B, CUSHING, OK 74023(918) 225-1165(918) 225-1953 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Premal Khetia Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMAL KHETIA MD (NPI 1285667295) is an individual facial plastic surgery provider in Cushing, Oklahoma, licensed in Oklahoma (23518) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1285667295

Entity TypeIndividualMale

Primary Taxonomy207YS0123X

Provider Legal NamePREMAL KHETIACredential: MD

Location Address1023 E CHERRY ST, SUITE BCushing, OK 74023-4105

Mailing Address1145 S Utica Ave, Suite 110Tulsa, OK 74104-4000 · (918) 579-3825 · Fax (918) 579-1262

Phone(918) 225-1165

Fax(918) 225-1953

Sole ProprietorNo

Enumeration DateJuly 10, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1285667295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207YS0123X

License✔ Licensed in OK · 23518

Definition

An otolaryngologist who specializes in facial plastic surgery.

1023 E CHERRY ST, Cushing, OK 74023

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Other Identifiers 1

Medicare UPINF83078

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYNZIE WILSON PT, DPT

Physical Therapist

1023 E CHERRY ST
CUSHING, OK 74023

Payne County (918) 225-8388

ALLI IVORY PTA

Physical Therapy Assistant

1023 E CHERRY ST
CUSHING, OK 74023

Payne County (918) 225-8388

MRS. DAYNA LYNN PEACOCK RCP,RRT

Respiratory Therapist, Registered (Pulmonary Rehabilitation)

1023 E CHERRY ST
CUSHING, OK 74023

Payne County (918) 225-8208

STERLING ELIZABETH KOEHN DPT

Physical Therapist

1023 E CHERRY ST
CUSHING, OK 74023

Payne County (918) 225-8388

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premal Khetia's NPI number?

The NPI number for Premal Khetia is 1285667295. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Premal Khetia located?

Premal Khetia practices at 1023 E Cherry St Suite B, Cushing, OK 74023. The listed phone number is (918) 225-1165.

What is Premal Khetia's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

When was this NPI record last updated?

The NPPES record for Premal Khetia was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.