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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ASHTAMI VISHWANATH BANAVALI, MD

Active

DR. ASHTAMI VISHWANATH BANAVALI, MD is a Hematology healthcare provider located in ADA, Oklahoma. NPI 1902184518 is currently active in the NPPES registry. Verify at CMS.

Hematology · ADA, OK

Registration Details

NPI Number
1902184518
Provider Type
Individual
Gender
Female
NPI Issued
Jul 31, 2011 (15.048094461126 yrs)
Last Updated
Dec 29, 2017
Licenses
P26486 (MD)
32636 (OK)

Practice Information

Address
430 N MONTE VISTA ST
ADA, OK, 748204610
Browse OK providers · Browse ZIP 74820
Phone
5804211141
Fax
5804211224
Primary Specialty
Hematology
207RH0003X
Additional Specialty
Hematology

Other Hematology Providers in ADA, OK

Name Credential NPI
MASOOD GHOUSE 1215120928
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.