Provider Demographics
NPI:1376869644
Name:KHEYFETS, STEVEN V (MD)
Entity Type:Individual
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First Name:STEVEN
Middle Name:V
Last Name:KHEYFETS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:250 N SHADELAND AVENUE
Mailing Address - Street 2:SUITE 130
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-4959
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:535 BARNHILL DRIVE
Practice Address - Street 2:RT 420
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-5116
Practice Address - Country:US
Practice Address - Phone:317-944-7451
Practice Address - Fax:317-944-0174
Is Sole Proprietor?:No
Enumeration Date:2010-04-12
Last Update Date:2015-07-14
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Provider Licenses
StateLicense IDTaxonomies
IN01075063A208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201286610Medicaid
IN064740015Medicare PIN