Individual
MELVIN J SKILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 KINGS DAUGHTERS DR, MADISON, IN 47250-3300
(812) 265-5211
(812) 265-0570
Mailing address
PO BOX 189, MADISON, IN 47250-0189
(812) 265-5211
(812) 265-0570
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01025761
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000107338
ANTHEM BCBS
IN
01
—
1128287
PASSPORT KY MEDICAID
KY
05
—
200261710A
—
IN
01
—
2437492000
PASSPORT ADVANTAGE
KY
01
—
300128983
MEDICARE RAILROAD
—
01
—
4322410
AETNA
—
05
—
64179930
—
KY
Enumeration date
06/29/2006
Last updated
04/22/2008
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