Healthcare Provider Details

I. General information

NPI: 1205531522
Provider Name (Legal Business Name): ANDREW CAILLET DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2023
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 N STATE ST STE 250
WESTERVILLE OH
43082-8082
US

IV. Provider business mailing address

925 N STATE ST STE 250
WESTERVILLE OH
43082-8082
US

V. Phone/Fax

Practice location:
  • Phone: 614-627-1860
  • Fax:
Mailing address:
  • Phone: 614-627-1860
  • Fax: 614-899-0990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number34.018786
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: