Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35082810 | OH |
N | 111NI0900X | Internist | 35082810 | OH |
N | 207RC0000X | Internist - Cardiovascular Disease | 35082810 | OH |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 35082810 | OH |
NPI | 1023004520 |
---|---|
Provider Name | Thomas Daniel Callahan V |
First Address | Independence, OH 44131-2139 |
Second Address | Cleveland, OH 44195-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2005 |
Last Update Date | 10/12/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2472015 | (05) | OH |
I06583 | (02) | |
PENDING | ANTHEM (01) | OH |
PENDING | BWC (01) | OH |
PENDING | CARESOURCE (01) | OH |
PENDING | KAISER (01) | OH |
PENDING | QUALCHOICE (01) | OH |
PENDING | RAILROAD MEDICARE (01) | OH |
PENDING | SUMMA CARE (01) | OH |
PENDING | TRICARE (01) | OH |
PENDING | UNITED HEALTH CARE (01) | OH |