Provider Demographics
NPI:1134258676
Name:CALDWELL, MICHAEL C (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:C
Last Name:CALDWELL
Suffix:
Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:1005 DR DB TODD JR BLVD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37208-3501
Mailing Address - Country:US
Mailing Address - Phone:615-327-5944
Mailing Address - Fax:615-327-5597
Practice Address - Street 1:387 MAIN ST
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-3316
Practice Address - Country:US
Practice Address - Phone:845-486-3432
Practice Address - Fax:845-486-3448
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2021-07-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN58859207R00000X
NY187202207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F71037Medicare UPIN