MEDICARE: THOMAS R CALAME 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
1	207RC0000X	Cardiovascular Disease Physician	161645-1205	UT

Other Identifiers

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

General Provider Information

NPI Number	:	1801888748
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS R CALAME MD

Provider Business Mailing Address
First Line	:	1160 E 3900 S
Second Line	:	STE 2000
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84124-1202
Country	:	US
Telephone Number	:	801-266-3418
Fax Number	:	801-288-4444

Provider Business Practice Location Address
First Line	:	24 S 1100 E
Second Line	:	STE 105
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84102-1500
Country	:	US
Telephone Number	:	801-532-0204
Fax Number	:	801-532-0205

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	07/08/2007

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Directions to “ THOMAS R CALAME MD” Practice Location

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