MEDICARE: RACHEL C CALLAGHAN II M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	G86533	CA

General Provider Information

NPI Number	:	1548239627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL C CALLAGHAN II M.D.

Provider Business Mailing Address
First Line	:	350 30TH ST
Second Line	:	SUITE 411
City	:	OAKLAND
State	:	CA
Zip	:	94609-3424
Country	:	US
Telephone Number	:	510-869-8712
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 30TH ST
Second Line	:	SUITE 411
City	:	OAKLAND
State	:	CA
Zip	:	94609-3424
Country	:	US
Telephone Number	:	510-869-8712
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	07/11/2007

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