Search › Rhode Island › 207Q00000X

Pavinarmatha Ketheeswaran, MD

NPI 1962066878 · on the registry since 2019

Practice

Address
40 Candace St
Providence, RI 02908
Phone
(401) 444-0550
Fax
(401) 444-0425
Organisation at this address
The Providence Community Health Centers, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Additional practice sites

  • 7814 N Dale Mabry Hwy, Tampa, FL

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
390200000X
207Q00000X
207Q00000X
Licence states on file
RI, FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island