Provider Demographics
NPI:1164656013
Name:CASHMAN, CASANDRA MILLER (MD)
Entity Type:Individual
Prefix:
First Name:CASANDRA
Middle Name:MILLER
Last Name:CASHMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6626 E 75TH ST
Mailing Address - Street 2:SUITE 500
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-2805
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10122 E. 10TH STREET
Practice Address - Street 2:SUITE 100
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46229-2697
Practice Address - Country:US
Practice Address - Phone:317-355-5717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-06
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL36154354207Q00000X
FLTRN13483207Q00000X
GA86940207Q00000X
AL42797207Q00000X
KY54174207Q00000X
FLME107804207Q00000X
MI4301099902207Q00000X
NC2023-01968207Q00000X
MA286323207Q00000X
MS31393207Q00000X
TN67427207Q00000X
OH35C.000865207Q00000X
PAMD480999207Q00000X
IN01072626A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
INP01214718OtherRR MEDICARE PTAN
IN201153380Medicaid
IN266180173Medicare PIN