Individual
MELVIN J SKILES
Active
Individual
MELVIN J SKILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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