Markandu Ketheeswaran (NPI# 1487608725, PAC ID# 4183759145) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1487608725 |
| PAC ID by PECOS | 4183759145 |
| Professional Enrollment ID | I20100316000305 |
| Full Name | Markandu Ketheeswaran |
| Address |
1209 Cape Ct Fayetteville NC 28304-4404 |
| Gender | M |
| Graduation Year | 1991 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340071 | BETSY JOHNSON REGIONAL HOSPITAL |
| 340028 | CAPE FEAR VALLEY MEDICAL CENTER |
| 340090 | JOHNSTON HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 800 Tighman Dr, Dunn, NC 28334-5510 | 9102307800 | HARNETT HEALTH SYSTEM INC |
| 1209 Cape Ct, Fayetteville, NC 28304-4404 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
1209 CAPE CT |
| City | FAYETTEVILLE |
| State | NC |
| Zip | 28304-4404 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachelle Kelly Porath | Physical Therapy | Activcare Physical Therapy, LLC | 2350 Bentridge Ln, Suite 100, Fayetteville, NC 28304-0590 |
| Amir Sanii | Physical Therapy | Activcare Physical Therapy, LLC | 2350 Bentridge Ln, Suite 100, Fayetteville, NC 28304-0590 |
| Abigail Michelle Weiskopf | Physical Therapy | Activcare Physical Therapy, LLC | 2350 Bentridge Ln, Suite 100, Fayetteville, NC 28304-0590 |
| Cynthia Caskey Oberfelder | Diagnostic Radiology | Oroville Hospital | 2053 Loganberry Dr, Fayetteville, NC 28304-0804 |
| Frank C Snyder | Diagnostic Radiology | Oroville Hospital | 2053 Loganberry Dr, Fayetteville, NC 28304-0804 |
| Latondra Denise Stillwell Barker | Physician Assistant | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Cheryl J Fiser | Clinical Social Worker | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Amita S Shetty | Internal Medicine | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Yvonne W Lewis | Physician Assistant | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Sheila M Agustin | Nurse Practitioner | Cumberland County Hospital System Inc | 3308 Melrose Rd, Fayetteville, NC 28304-1604 |
| Find all physicians in zip 28304 | |||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | FAYETTEVILLE + HEMATOLOGY/ONCOLOGY |
Please comment or provide details below to improve the information on Markandu Ketheeswaran.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.