Individual
ANDREW CAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7310 PREAMBLE CT, INDIANAPOLIS, IN 46259-5751
(317) 371-1085
Mailing address
7310 PREAMBLE CT, INDIANAPOLIS, IN 46259-5751
(317) 371-1085
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
01051054A
IN
2080P0205X
Pediatric Endocrinology Physician
Primary
01051054A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000365393
ANTHEM
IN
01
—
000000700863
ANTHEM
IN
05
—
200501800
—
IN
Enumeration date
07/26/2006
Last updated
07/28/2015
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