Individual
THOMAS DANIEL CALLAHAN V
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(800) 223-2273
Mailing address
6000 W CREEK RD, SUITE 10, INDEPENDENCE, OH 44131-2139
(800) 223-2273
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35082810
OH
207RC0000X
Cardiovascular Disease Physician
35082810
OH
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
35082810
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2472015
—
OH
01
—
PENDING
SUMMA CARE
OH
Enumeration date
09/21/2005
Last updated
12/10/2008
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