Individual
DR. BENJAMIN MARTIN CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217-1318
(502) 634-6767
(502) 634-6775
Mailing address
PO BOX 36218, LOUISVILLE, KY 40233-6218
(502) 634-6767
(502) 634-6775
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
41620
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000786183
ANTHEM BC/BS
KY
05
—
200927140
—
IN
01
—
50042932
PASSPORT
KY
05
—
7100029740
—
KY
Enumeration date
01/04/2007
Last updated
06/07/2023
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