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Individual

JEFFREY S. CAHOON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
253 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1501
(765) 448-8000
(765) 446-7085
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(877) 668-5621

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
01037931A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000188763
ANTHEM PROVIDER NUMBER
IN
05
100098870
IN
01
10824863
CAQH NUMBER
IN
01
9274784
PHCS PID NUMBER
IN
05
CA18510030
IN
Enumeration date
03/15/2006
Last updated
02/01/2021
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