Individual
MELISSA K CAVAGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 UNIVERSITY BLVD # UH2180, INDIANAPOLIS, IN 46202-5149
(317) 944-5000
(317) 962-1278
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01053748A
IN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
01053748
IN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
01053748A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000202225
ANTHEM PTAN
IN
05
—
200216000
—
IN
Enumeration date
04/17/2006
Last updated
03/04/2025
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