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General NPI Number Information
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NPI Number | 1639121841
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Entity Type | Individual
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Provider Name | MANISH N KESLIKER M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 02/28/2014
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Provider Practice Location Address
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Address Line | 27211 LAHSER ROAD STE #200
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City | SOUTHFIELD
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State | MI
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Zip | 48034-4147
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Country | US
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Telephone | 248-358-4892
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Fax | 248-358-5125
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Provider Business Mailing Address
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Address Line | 28411 NORTHWESTERN HWY STE # 1050
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City | SOUTHFIELD
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State | MI
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Zip | 48034-0047
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Country | US
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Telephone | 248-354-4709
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Fax | 248-354-4807
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MK080609
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301080609
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License Number State | MI
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