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NPI Code Detail

MEDICARE: DR. NICHOLAS KNOBLE CALLAHAN DO

MEDICARE: DR. NICHOLAS KNOBLE CALLAHAN DO
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
1207X00000XOrthopaedic Surgery Physician34.014321OH

General Provider Information

NPI Number : 1659783934
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICHOLAS KNOBLE CALLAHAN DO
Provider Business Mailing Address
First Line : 300 ALLEN BRADLEY DR STE 200
Second Line :
City : MAYFIELD HEIGHTS
State : OH
Zip : 44124-6130
Country : US
Telephone Number : 844-746-8537
Fax Number : 216-313-9166
Provider Business Practice Location Address
First Line : 300 ALLEN BRADLEY DR STE 200
Second Line :
City : MAYFIELD HEIGHTS
State : OH
Zip : 44124-6130
Country : US
Telephone Number : 844-746-8537
Fax Number : 216-313-9166
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2014
Last Update Date : 09/16/2025

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