Individual provider · NPI-1

Dr. Domenico Calcaterra, MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) · Indianapolis, IN

NPI number1003018250
StatusActive
Last updated in NPPESOct 26, 2021

Details

NPI
1003018250
Entity type
Individual (NPI-1)
Name
Dr. Domenico Calcaterra
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 1, 2007
Certification date
Oct 26, 2021
Last updated
Oct 26, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)38062IAYes
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)ME97069FL
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)01071025AIN

Practice location

1801 N Senate Blvd
Ste 3300
Indianapolis, IN 46202-1228

Phone 317-923-1787 · Fax 317-962-6259

Mailing address

5304 4th Avenue Cir E
Bradenton, FL 34208-5624

Phone 941-744-2640 · Fax 941-744-2650

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