Healthcare Provider Details

I. General information

NPI: 1952564700
Provider Name (Legal Business Name): BETHANY CALAWAY HAHN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BETHANY M CALAWAY MD

II. Dates (important events)

Enumeration Date: 07/02/2008
Last Update Date: 03/18/2024
Certification Date: 03/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1125 YARD ST STE 200
GRANDVIEW HEIGHTS OH
43212-3930
US

IV. Provider business mailing address

1125 YARD ST STE 200
GRANDVIEW HEIGHTS OH
43212-3930
US

V. Phone/Fax

Practice location:
  • Phone: 614-434-2400
  • Fax: 614-434-2499
Mailing address:
  • Phone: 614-434-2400
  • Fax: 614-434-2499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD445319
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35.122383
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: