Individual
DR. DERIK KESHISHIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2740 HERNDON AVE, CLOVIS, CA 93611-6813
(559) 299-4264
Mailing address
155 N FRESNO ST, FRESNO, CA 93701-2302
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A135560
CA
Other
Enumeration date
03/27/2012
Last updated
03/07/2019
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