Healthcare Provider Details

I. General information

NPI: 1447218060
Provider Name (Legal Business Name): PATRICK E CALLAHAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 11/08/2023
Certification Date: 11/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 BROWN ST CHESTER RIVER HOSPITAL CENTER
CHESTERTOWN MD
21620
US

IV. Provider business mailing address

PO BOX 120
CHESTERTOWN MD
21620-0120
US

V. Phone/Fax

Practice location:
  • Phone: 410-778-3300
  • Fax: 410-810-7808
Mailing address:
  • Phone: 410-810-7055
  • Fax: 410-810-7054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberD0046630
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberD0046630
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: