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Individual

EDWIN E KASHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
999 S KENMORE DR, SUITE A, EVANSVILLE, IN 47714-7514
(812) 477-9495
(812) 477-0134
Mailing address
PO BOX 15415, EVANSVILLE, IN 47716-0415
(812) 477-9495
(812) 477-0134

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01032814
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000108102
ANTHEM PREFERRED ACCESS
KY
01
000000526765
ANTHEM
IN
01
020007857
RAILROAD MEDICARE
IN
01
35-1738788
FEDERAL TAX ID
IN
Enumeration date
07/18/2005
Last updated
05/09/2008
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