Individual
DR. CHARLES M KEOLEIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1040 DELAWARE AVE, MARION, OH 43302-6416
(740) 383-7950
(740) 375-8164
Mailing address
5450 FRANTZ RD STE 360, DUBLIN, OH 43016-4141
(614) 544-6370
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35.140177
OH
208800000X
Urology Physician
4301054366
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10534
MCARE
MI
01
—
133384
PREFERRED AND CARE CHOICE
MI
01
—
340019725
RAILROAD MEDICARE
MI
01
—
340634410-1
BCBSM INDIVIDUAL ID
MI
05
—
4387203
—
MI
05
—
4973505
—
MI
01
—
5281117
AETNA
MI
01
—
CK054366
BCBSM IDENTIFIER
MI
01
—
G14839
HAP
MI
Enumeration date
11/30/2005
Last updated
07/17/2020
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