Individual
DR. SEVAK KESHISHYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 ENGLE ST STE 6586, ENGLEWOOD, NJ 07631-1808
(201) 569-1101
Mailing address
420 DELAWARE STREET SE MMC276, MINNEAPOLIS, MN 55455
(612) 624-0999
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D95288
MD
207RP1001X
Pulmonary Disease Physician
Primary
25IA12293600
NJ
207RP1001X
Pulmonary Disease Physician
C1-0012656
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841586013
—
DE
Enumeration date
06/24/2011
Last updated
09/10/2024
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