Healthcare Provider Details

I. General information

NPI: 1982336459
Provider Name (Legal Business Name): ERIKA ANNE KESHISHIAN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2022
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 JOHNSON RD
STEUBENVILLE OH
43952-2364
US

IV. Provider business mailing address

508 S 2ND AVE
WALLA WALLA WA
99362-3149
US

V. Phone/Fax

Practice location:
  • Phone: 740-264-8000
  • Fax:
Mailing address:
  • Phone: 925-212-4526
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number34.018000
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: