Individual
DANILO JOSON CALDERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
525 ALEXANDRIA PIKE, SUITE 300, SOUTHGATE, KY 41071
(859) 781-2210
(859) 781-0289
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 781-2210
(859) 781-0289
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
39739
CO
207R00000X
Internal Medicine Physician
Primary
42066
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2966554
—
OH
05
—
7100069240
—
KY
01
—
P00637558
MEDICARE RAILROAD
KY
01
—
P00839839
RAILROAD MEDICARE
KY
Enumeration date
07/13/2006
Last updated
01/25/2023
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