Individual
RANDALL L CALDWELL
Active
Individual
RANDALL L CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
01023836
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000354895
ANTHEM-DEAC-350593390
—
05
—
0472902
—
OH
05
—
100061190
—
IN
05
—
1073621033
—
MI
01
—
350593390-042
TRICARE-DEAC-350593390
—
05
—
64882236
—
KY
Enumeration date
08/29/2006
Last updated
09/17/2012
Update your record
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