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Contact Information

RANDALL L CALDWELL, MD
705 RILEY HOSPITAL DR
RR 127
INDIANAPOLIS, IN46202-5109
 Phone: 317-274-8906
 Fax: 317-274-4022
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for RANDALL L CALDWELL · (Male)

NPI # 1073621033
Status Active
Credentials MD
Entity Individual
Enumeration date 08/29/2006
Last updated 09/17/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01023836
  • IN Medicaid 100061190
  • KY Medicaid 64882236
  • MI Medicaid 1073621033
  • OH Medicaid 0472902
  • Other 000000354895 ANTHEM-DEAC-350593390
  • Other 350593390-042 TRICARE-DEAC-350593390
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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