Individual
DAN E CALLEJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 STERLING WAY, SUITE 1, MT STERLING, KY 40353-1176
(859) 498-0200
(859) 498-5812
Mailing address
100 STERLING WAY, SUITE 1, MT STERLING, KY 40353-1176
(859) 498-0200
(859) 498-5812
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40772
KY
207RP1001X
Pulmonary Disease Physician
40772
KY
207RP1001X
Pulmonary Disease Physician
ME0084183
FL
208M00000X
Hospitalist Physician
40772
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11530750
CAQH ID NO.
KY
05
—
268023800
—
FL
01
—
37903705
MEDICAID LAB GROUP
KY
01
—
4000501
MEDICARE LAB GROUP
KY
05
—
7100023090
—
KY
Enumeration date
06/06/2006
Last updated
07/08/2014
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