Individual
KEITH E MAHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02004789A
IN
207R00000X
Internal Medicine Physician
5101020218
MI
208M00000X
Hospitalist Physician
02004789A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201353860
—
IN
Enumeration date
05/06/2013
Last updated
05/16/2022
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