Individual
ADAM KYLE HASTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5001 US HIGHWAY 30 W STE D, FORT WAYNE, IN 46818-9701
(260) 432-1568
(260) 432-4969
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01072638A
IN
2085R0202X
Diagnostic Radiology Physician
17471
NH
2085R0202X
Diagnostic Radiology Physician
MD20961
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0169361
—
OH
05
—
1518286517
—
MI
05
—
201106060
—
IN
Enumeration date
05/31/2010
Last updated
02/01/2021
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