| Keith L. Callahan M.d., P.c. | |
|
390 Toll Gate Rd Suite 108 Warwick RI 02886-4326 | |
| (401) 921-5672 | |
| (401) 921-5679 |
| Full Name | Keith L. Callahan M.d., P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 390 Toll Gate Rd, Warwick, Rhode Island |
| Authorized Official Name and Position | Keith Lee Callahan (PRESIDENT) |
| Authorized Official Contact | 4019215672 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Keith L. Callahan M.d., P.c. 390 Toll Gate Rd Suite 108 Warwick RI 02886-4326 Ph: (401) 921-5672 | Keith L. Callahan M.d., P.c. 390 Toll Gate Rd Suite 108 Warwick RI 02886-4326 Ph: (401) 921-5672 |
| NPI Number | 1558556266 |
|---|---|
| Provider Enumeration Date | 09/06/2007 |
| Last Update Date | 09/30/2010 |
| Medicare PECOS PAC ID | 3779670666 |
|---|---|
| Medicare Enrollment ID | O20071024000267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558556266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Rhode Island) | Primary |
| Provider Name | Keith L Callahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629063219 PECOS PAC ID: 6608806047 Enrollment ID: I20071024000216 |
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