KEIVAN SHALILEH

LAFAYETTE, IN
NPI1700275385
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RC0200X Internal Medicine, Critical Care Medicine
(Licence: IN  01088344A)
Additional Taxonomies207R00000X Internal Medicine
(Licence: IN  01088344A)
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: IL  036-150264)
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: IL  125069881)
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: IN  01088344A)
Enumeration Date2015-01-20
Last Update Date2022-11-03
Business Address
KEIVAN SHALILEH MD
5165 MCCARTY LN
LAFAYETTE, IN 47905-8764
Phone number: 765-448-8000
Mailing Address
KEIVAN SHALILEH MD
250 N SHADELAND AVE
INDIANAPOLIS, IN 46219-4959
Phone number: