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Theppanya Ka Keolasy, MD
Family Medicine Physician in Roanoke, Indiana
NPI 1124028881

Theppanya Ka Keolasy is a Family Medicine Physician based in Fort Wayne, IN. Theppanya Ka Keolasy practices in Roanoke, IN and has the professional credentials of MD. The NPI Number for Theppanya Ka Keolasy is 1124028881 and holds a License No. 01058795A (Indiana).

The current practice location address for Theppanya Ka Keolasy is 577 Geiger Dr Ste C, Roanoke, IN and can be reached out via phone at 260-672-5950 and via fax at 260-672-0939.

Location: 577 Geiger Dr Ste C, Roanoke, IN, 46845-1701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124028881
Provider Name
Theppanya Ka Keolasy
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
577 Geiger Dr Ste C, Roanoke, IN, 46845-1701
Phone Number
260-672-5950
Fax Number
260-672-0939
Provider Enumeration Date
07/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000655775 01 IN ANTHEM
200502100A 05 IN
200956680 05 IN
institution
Provider Business Practice Location Address Details
Address
577 Geiger Dr Ste C
City
Roanoke
State
Indiana
Zip
46783-8877
Phone Number
260-672-5950
Fax Number
260-672-0939
person
Provider Business Mailing Address Details
Address
577 Geiger Dr Ste C
City
Roanoke
State
Indiana
Zip
46783-8877
Phone Number
260-672-5950
Fax Number
260-672-0939
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
01058795A (Indiana)
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 is not limited by age, sex, organ system, or disease entity.
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