Provider Demographics
NPI:1801888748
Name:CALAME, THOMAS R (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:R
Last Name:CALAME
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1160 E 3900 S
Mailing Address - Street 2:STE 2000
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84124-1202
Mailing Address - Country:US
Mailing Address - Phone:801-266-3418
Mailing Address - Fax:801-288-4444
Practice Address - Street 1:24 S 1100 E
Practice Address - Street 2:STE 105
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84102-1500
Practice Address - Country:US
Practice Address - Phone:801-532-0204
Practice Address - Fax:801-532-0205
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-17
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
UT161645-1205207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT05772Medicaid
UT05772Medicaid