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NPI Code Detail

MEDICARE: CHADI A CALARGE MD

MEDICARE:   CHADI A CALARGE  MD
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
12084P0804XChild & Adolescent Psychiatry Physician34983IA
22084P0804XChild & Adolescent Psychiatry PhysicianQ1957TX
32084P0800XPsychiatry Physician34983IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
139274OTHERIAWELLMARK BCBS

General Provider Information

NPI Number : 1578558250
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHADI A CALARGE MD
Provider Business Mailing Address
First Line : 200 HAWKINS DR
Second Line :
City : IOWA CITY
State : IA
Zip : 52242-1009
Country : US
Telephone Number : 319-335-8771
Fax Number : 319-353-3003
Provider Business Practice Location Address
First Line : 6621 FANNIN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2358
Country : US
Telephone Number : 832-824-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2005
Last Update Date : 07/25/2024

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