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NPI Verification

National Provider Identifier: 1902184518

Ashtami Vishwanath Banavali, MD

Individual Provider

Credentials

Primary Specialty

Internal Medicine, Hematology & Oncology

Code: 207RH0003X

All Specialties (3)

Internal Medicine

Code: 207R00000X

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Internal Medicine, Hematology & Oncology

Code: 207RH0003X

Primary

Practice Address

430 N MONTE VISTA ST

ADA, OK 748204610

Phone: 580-421-1141

NPI Enumeration Date

July 31, 2011

NPI Number

1902184518

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry