IndividualActive
Premal Khetia, MD
NPI 1285667295 · Facial Plastic Surgery Physician · Cushing, OK
Provider details
- NPI number
- 1285667295
- Entity type
- Individual
- Primary specialty
- Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 23518 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1023 E Cherry St
Suite B
Cushing, OK 74023-4105
Phone: (918) 225-1165
Fax: (918) 225-1953
Street-level locationGet directions
Mailing address
1145 S Utica Ave
Tulsa, OK 74104-4000
Registry dates
- Enumerated
- 2006-07-10
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.