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NPI Code Detail

MEDICARE: DARREN CAUDILL DO

MEDICARE:   DARREN  CAUDILL  DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician02003134AIN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00886797OTHERINRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255327706
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARREN CAUDILL DO
Provider Business Mailing Address
First Line : 250 N SHADELAND AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-4959
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1115 N RONALD REAGAN PKWY
Second Line : SUITE 206
City : AVON
State : IN
Zip : 46123-6911
Country : US
Telephone Number : 317-217-2888
Fax Number : 317-217-2999
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2005
Last Update Date : 03/16/2025

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Directions to “ DARREN CAUDILL DO” Practice Location

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