Provider Demographics
NPI:1760505432
Name:JOHN B CALADO, P.C.
Entity Type:Organization
Organization Name:JOHN B CALADO, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERNAL MEDICINE
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:B
Authorized Official - Last Name:CALADO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:248-598-5080
Mailing Address - Street 1:1701 SOUTH BLVD E STE 160
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-6115
Mailing Address - Country:US
Mailing Address - Phone:248-598-5080
Mailing Address - Fax:
Practice Address - Street 1:1701 SOUTH BLVD E STE 160
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-6115
Practice Address - Country:US
Practice Address - Phone:248-598-5080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIJC012319207RA0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RA0000XAllopathic & Osteopathic PhysiciansInternal MedicineAdolescent MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4085015Medicaid
MI4085015Medicaid
MIG55354Medicare UPIN
MI4085015Medicaid