MEDICARE: KEVIN MARIN BASKIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	52640	KY
2	2085R0202X	Diagnostic Radiology Physician	MD417418	PA

General Provider Information

NPI Number	:	1043301047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN MARIN BASKIN MD

Provider Business Mailing Address
First Line	:	PO BOX 776879
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60677-6879
Country	:	US
Telephone Number	:	502-588-9490
Fax Number	:	502-272-5116

Provider Business Practice Location Address
First Line	:	2438 BRODHEAD RD
Second Line	:
City	:	ALIQUIPPA
State	:	PA
Zip	:	15001-4271
Country	:	US
Telephone Number	:	412-551-3452
Fax Number	:	724-857-0855

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	02/12/2026

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Directions to “ KEVIN MARIN BASKIN MD” Practice Location

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