# DR. UTHMAN CAVALLO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1528013372
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 01054192A | IN | — |
| 207V00000X | Obstetrics & Gynecology Physician | 01054192A | IN | Yes |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 07/01/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000742843 | BCBS | — |
| 01 | — | 000000760931 | BCBS | IN |
| 05 | — | 200354000A | — | IN |