Kevin J Callahan, MD | |
500 Lynnfield St, Lynn, MA 01904-1424 | |
(781) 581-9200 | |
Not Available |
Full Name | Kevin J Callahan |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 500 Lynnfield St, Lynn, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962406249 | NPI | - | NPPES |
0144151 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 209577 (Massachusetts) | Primary |
Entity Name | Commonwealth Radiology Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295711661 PECOS PAC ID: 2668468406 Enrollment ID: O20081210000048 |
Entity Name | Mass General Brigham Community Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891112637 PECOS PAC ID: 1759273436 Enrollment ID: O20150723007726 |
Mailing Address | Practice Location Address |
---|---|
Kevin J Callahan, MD 91 Stiles Rd, Salem, NH 03079-2846 Ph: (800) 927-0002 | Kevin J Callahan, MD 500 Lynnfield St, Lynn, MA 01904-1424 Ph: (781) 581-9200 |
M. Christian Semine, MD Radiology Medicare: Medicare Enrolled Practice Location: 500 Lynnfield St, Lynn, MA 01904 Phone: 781-581-9200 | |
Peter Koch-weser, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 295 Varnum Street, Lynn, MA 01904 Phone: 781-581-9200 |