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Individual
JEFFREY S. CAHOON
Active
Individual
JEFFREY S. CAHOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
01037931A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000188763
ANTHEM PROVIDER NUMBER
IN
05
—
100098870
—
IN
01
—
10824863
CAQH NUMBER
IN
01
—
9274784
PHCS PID NUMBER
IN
05
—
CA18510030
—
IN
Enumeration date
03/15/2006
Last updated
02/01/2021
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