Theppanya Ka Keolasy in Roanoke - Family Medicine
Theppanya Ka Keolasy - NPI 1124028881
Theppanya Ka Keolasy is a Family Medicine in Roanoke, Indiana. Theppanya Ka Keolasy practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Theppanya Ka Keolasy is 1124028881. The last update date is 2022-12-22.
Theppanya Ka Keolasy's current location address is 577 Geiger Dr Ste C, Roanoke, Indiana. You can contact this provider via phone number 2606725950 and fax number 2606720939. The mailing address for Theppanya Ka Keolasy is 577 Geiger Dr Ste C, Roanoke, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theppanya Ka Keolasy |
|---|---|
| Address | 577 Geiger Dr Ste C, Roanoke, Indiana |
| Phone Number | 2606725950 |
| Fax Number | 2606720939 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1124028881 |
|---|---|
| Provider Enumeration Date | 2005-07-26 |
| Last Updated Date | 2022-12-22 |
Provider Mailing Address Detail
| Address | 577 Geiger Dr Ste C |
|---|---|
| City | Roanoke |
| State | Indiana (IN) |
| Post Code | 467838877 |
| Phone Number | 2606725950 |
| Fax Number | 2606720939 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 01058795A |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 655775 | IN | ANTHEM | |
| 200502100A | IN | -- | |
| 200956680 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Theppanya Ka Keolasy by the Centers for Medicare & Medicaid Services?
The Theppanya Ka Keolasy has been assigned the NPI (National Provider Identifier) 1124028881 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Theppanya Ka Keolasy?
The Theppanya Ka Keolasy is physically situated at 577 Geiger Dr Ste C, in the city of Roanoke, state of IN, with the postal code 467838877.
What is Theppanya Ka Keolasy's specialized field of practice, and what is the corresponding taxonomy classification code?
The Theppanya Ka Keolasy's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124028881 to Theppanya Ka Keolasy?
The Centers for Medicare & Medicaid Services originally issued the 1124028881 to Theppanya Ka Keolasy on 2005-07-26.
As of what date was the information regarding Theppanya Ka Keolasy, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Theppanya Ka Keolasy, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-12-22.