Ashtami Vishwanath Banavali, MD Valid NPI

Individual provider · Hematology & Oncology Physician · Ada, OK

NPI

1902184518

Type

Individual (Type 1)

Primary specialty

Hematology & Oncology Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207RH0003X

License number

32636 (OK)

Sex

Female

Sole proprietor

No

Enumerated

2011-07-31

Last updated

2017-12-29