DoctorLicensePro

Dr. Pavinarmatha Ketheeswaran, MD

Family Medicine

NPI: 1962066878 Rhode Island
70/100
GoodTrusted

Trust Score based on license status, disciplinary record, board certification, experience, and data freshness.

Score Breakdown

License Status15/30

unknown

Disciplinary Record25/25

0 action(s)

Board Certification15/20

Not verified

Years in Practice9/15

7 years

Data Freshness6/10

Updated 931 days ago

License Status

FloridaActive
License #

179335

Issued

Feb 10, 2026

Expires

Jan 31, 2028

Practice Information

Address
40 CANDACE ST
PROVIDENCE, RI 02908
Phone
(401) 444-0550
In Practice Since
April 25, 2019
Data Last Updated
December 13, 2023

NPI Details

NPI Number
1962066878
Status
Active
Taxonomy Code
207Q00000X
Data sourced from CMS NPPES public database. Last verified: December 13, 2023. Report an error