Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Pavinarmatha Ketheeswaran, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962066878

Pavinarmatha Ketheeswaran, MD is a Family Practice in Providence, Rhode Island. Graduated from Florida International Univ, College of Medicine in 2019, 7 years ago. Practices with The Providence Community Health Centers Inc, a 90-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Rhode Island.

Years since qualifying
7
Trained at
Florida International Univ, College of Medicine
Licensed in
FL, RI
In the registry since
2019
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

40 Candace St
Providence, RI 02908-3747
Phone: (401) 444-0550
Fax: (401) 444-0425
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 — (813) 397-5300

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME179335 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Family Medicine Physician Taxonomy 207Q00000X · Licence LP04636 (RI)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD18615 (RI)

Record details

NPI number1962066878
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 25, 2019
Last updated in NPPESJuly 8, 2026
Certification dateJuly 8, 2026
Mailing address375 Allens Ave, Providence, RI 02905-5010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolFLORIDA INTERNATIONAL UNIV, COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice The Providence Community Health Centers Inc. — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Providence