Individual
JOHN THOMAS CALLAGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-2624
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-2624
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01028895A
IN
208U00000X
Clinical Pharmacology Physician
01028895
IN
208U00000X
Clinical Pharmacology Physician
01028895A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000487351
ANTHEM PTAN
IN
05
—
200813030
—
IN
Enumeration date
06/05/2006
Last updated
03/04/2025
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