NPI 1336165596 · live from the CMS NPI Registry
Praveen H. Keshava, M.D.
Ophthalmology in Rutland, VT. National Provider Identifier 1336165596, active.
NPI record
| NPI | 1336165596 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 69 Allen St, Suite 15, Rutland, VT 05701 |
| Practice phone | 802-775-0038 |
| Enumerated | July 14, 2006 |
| Last updated | June 17, 2009 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | 042-0011190 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.