| Charles Callahan, MD | |
|
593 Eddy St, Claverick 2, Providence, RI 02903-4923 | |
| (401) 854-2504 | |
| (401) 854-2519 |
| Full Name | Charles Callahan |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Emergency Medicine |
| Location | 593 Eddy St, Providence, Rhode Island |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477577302 | NPI | - | NPPES |
| 939025129 | Other | RI | RI MEDICARE GROUP NUMBER |
| 007008870 | Other | RI | RI MEDICARE |
| 1477577302 | Other | RI | NPI |
| 01/27/2009 | Other | RI | TUFTS |
| 12/14/2006 | Other | RI | NHPRI |
| 3156567 | Medicaid | MA | |
| CC23905 | Medicaid | RI | |
| 01-27-2009 | Other | MA | TUFTS HEALTH PLAN |
| 04/15/2009 | Other | RI | UNITED HEALTHCARE |
| 408343 | Other | RI | BCBSRI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0204X | Pediatrics - Pediatric Emergency Medicine | MD10524 (Rhode Island) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Callahan, MD Po Box 9484, Providence, RI 02940-9484 Ph: (401) 854-2500 | Charles Callahan, MD 593 Eddy St, Claverick 2, Providence, RI 02903-4923 Ph: (401) 854-2504 |
Sara Regan Ford, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1 Hoppin St, Coro Center Suite 304, Providence, RI 02903 Phone: 401-444-4612 Fax: 401-793-8831 | |
Jennifer F Friedman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Lower Level, Providence, RI 02903 Phone: 401-444-4471 Fax: 401-444-3870 | |
Jason Shapiro, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-8450 Fax: 401-444-5088 | |
Dr. Mikhaela Monty, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-4471 Fax: 401-444-7574 | |
Dale Steele, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Claverick 2, Providence, RI 02903 Phone: 401-854-2504 Fax: 401-854-2519 | |
Chase B Samsel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-8450 Fax: 401-444-5088 | |
Adebimpe Olubusayo Adewusi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy St, Porter 005, Providence, RI 02903 Phone: 401-444-2877 Fax: 401-444-3804 |