Individual
ADIL KESKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 983-8172
(269) 985-4535
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01060548A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
4301501242
MI
207RP1001X
Pulmonary Disease Physician
01060548A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000363430
ANTHEM PROVIDER NUMBER
IN
01
—
11469401
CAQH NUMBER
IN
05
—
200513680
—
IN
01
—
9397210
PHCS PID NUMBER
IN
Enumeration date
03/15/2006
Last updated
01/07/2020
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