# PHYSICIANS HOLISTIC HEALTH ALLIANCE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508155664
- **Authorized official:** UTHMAN CAVALLO M.D. (PRESIDENT)
- **Authorized official phone:** 57427333880

## Contact information

- **Practice address:** 230 E DAY RD, SUITE 180, MISHAWAKA, IN 46545-3408
- **Practice address phone:** (574) 273-3880
- **Practice address fax:** (574) 271-0918
- **Mailing address:** 230 E DAY RD, SUITE 180, MISHAWAKA, IN 46545-3408
- **Mailing address phone:** (574) 273-3880
- **Mailing address fax:** (574) 271-0918

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | IN | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | IN | Yes |

## Other

- **Enumeration date:** 03/29/2011
- **Last updated:** 03/29/2011