Cavallo, Uthman
Cavallo, Uthman is an sole proprietor health care provider with primary practice located at 53800 Generations Dr , South Bend IN 46635. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Cavallo, Uthman can be contacted via phone (574) 273-3880.Contact Information
Primary practice address
53800 Generations Dr
South Bend IN 46635
Phone: (574) 273-3880
Fax: (571) 271-0918
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 01054192A | Indiana |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 01054192A | Indiana |
Profile Details
| NPI number | 1528013372 |
|---|---|
| LBN Legal business name | Cavallo, Uthman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2006 |
| Last updated | Jun 20th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528013372 | NPPES |
| Other | 000000742843 | BCBS | |
| MEDICAID | 200354000A | BCBS | |
| Other | 000000760931 | BCBS |
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