| Uthman Cavallo, Md, Llc | |
|
53800 Generations Dr South Bend IN 46635-1543 | |
| (574) 273-3880 | |
| (574) 271-0918 |
| Full Name | Uthman Cavallo, Md, Llc |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 53800 Generations Dr, South Bend, Indiana |
| Authorized Official Name and Position | Uthman Cavallo (OWNER/PRESIDENT) |
| Authorized Official Contact | 5742733880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uthman Cavallo, Md, Llc 53800 Generations Dr South Bend IN 46635-1543 Ph: (574) 273-3880 | Uthman Cavallo, Md, Llc 53800 Generations Dr South Bend IN 46635-1543 Ph: (574) 273-3880 |
| NPI Number | 1093152589 |
|---|---|
| Provider Enumeration Date | 05/24/2013 |
| Last Update Date | 09/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093152589 | NPI | - | NPPES |
| 201213380A | Medicaid | IN |
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