Individual
KEITH L CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
390 TOLL GATE RD, SUITE 108, WARWICK, RI 02886-4326
(401) 921-5672
(401) 921-5679
Mailing address
390 TOLL GATE RD, SUITE 108, WARWICK, RI 02886-4326
(401) 921-5672
(401) 921-5679
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD12303
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32250-6
BLUE CROSS
RI
01
—
414283
BLUE CHIP
RI
01
—
496-667
TUFTS
RI
01
—
810900591
MULTIPLAN/PHCS
RI
01
—
9201212
CIGNA
RI
01
—
AA98861
HARVARD PILGRIM
RI
Enumeration date
09/20/2005
Last updated
04/29/2026
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