| Doctor Name: | MICHAEL CACCAMO |
| NPI Number: | 1053303149 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 5101010916 |
| Business Practice Address: | 540 Lincoln Park Blvd Ste 130 Kettering, OH - 454296401 |
| Business Phone Number: | 9372976306 |
| Business Fax Number: | 9372996300 |
| Mailing Address: | 540 Lincoln Park Blvd, Ste 130 KETTERING |
| State: | OH |
| Postal Code: | 454296401 |
| Phone Number: | 9372976306 |
| Fax Number: | 9372996300 |
| NPI Enumeration Date: | 08/16/2005 |
| NPI Last Update Date: | 12/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 5101010916 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |