Caldwell, Randall L

Caldwell, Randall L is an individual health care provider with primary practice located at 705 Riley Hospital Dr Rr 127, Indianapolis IN 46202-5109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Caldwell, Randall L can be contacted via phone (317) 274-8906.

Contact Information

Primary practice address
705 Riley Hospital Dr Rr 127 Indianapolis IN 46202-5109
Phone: (317) 274-8906
Fax: (317) 274-4022
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 01023836 Indiana

Profile Details

NPI number 1073621033
LBN Legal business name Caldwell, Randall L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Sep 17th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073621033 NPPES
Indiana MEDICAID 100061190
Indiana MEDICAID 1073621033
Indiana MEDICAID 64882236
Indiana Other 350593390-042
Indiana Other 000000354895
Indiana MEDICAID 0472902

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