Individual
THOMAS K KALMBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8687 CONNECTICUT, SUITE F, MERRILLVILLE, IN 46410
(219) 769-7800
(219) 755-0748
Mailing address
250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46219-4959
(219) 755-0748
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
010-41482
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
01041482A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001014260
ANTHEM PROVIDER ID
—
05
—
100346780
—
IN
Enumeration date
10/03/2006
Last updated
01/15/2021
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