Individual
KEITH RAPHAEL DORAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17300 WESTFIELD BLVD STE 110, WESTFIELD, IN 46074-1363
(317) 763-1019
(317) 763-1082
Mailing address
12315 HANCOCK ST STE 24, CARMEL, IN 46032-5885
(317) 708-3732
(888) 316-7962
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
01079816A
IN
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
C1-0007713
DE
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
G052927
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD067852L
PA
Other
Enumeration date
05/14/2010
Last updated
07/10/2025
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