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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 8 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 1528013372 NPPES
Other 000000742843 BCBS
MEDICAID 200354000A BCBS
Other 000000760931 BCBS

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