Individual
DR. KISHAN T KISHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2219 DUBOIS DR, WARSAW, IN 46580-3212
(574) 269-3420
(574) 269-2234
Mailing address
2219 DUBOIS DR, WARSAW, IN 46580-3212
(574) 269-3420
(574) 269-2234
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
IN01036480A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100088150
—
IN
Enumeration date
05/10/2006
Last updated
06/29/2010
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