Provider Demographics
NPI:1801436597
Name:KESHWANI, RUHEE
Entity type:Individual
Prefix:
First Name:RUHEE
Middle Name:
Last Name:KESHWANI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1343 N LEVERETT AVE APT 9
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-1756
Mailing Address - Country:US
Mailing Address - Phone:501-316-6880
Mailing Address - Fax:
Practice Address - Street 1:1343 N LEVERETT AVE APT 9
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-1756
Practice Address - Country:US
Practice Address - Phone:501-316-6880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-09
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist