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Individual

PYARALI M KESHVANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8731 INDIANAPOLIS BLVD, HIGHLAND, IN 46322-1551
(219) 923-2680
(219) 923-4661
Mailing address
9660 WICKER AVE, SAINT JOHN, IN 46373-9487
(219) 923-2680
(219) 923-4661

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01045402
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000260208
ANTHEM BCBS
IN
01
0091144786
BCBS OF ILLINOIS
IL
05
200072000
IN
01
P00235597
MEDICARE RAILROAD
IN
Enumeration date
07/26/2005
Last updated
05/14/2010
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