Provider Demographics
NPI:1235308354
Name:CALLAHAN, CATHLEEN G (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHLEEN
Middle Name:G
Last Name:CALLAHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CATHLEEN
Other - Middle Name:G
Other - Last Name:CALLAHAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2265 KRAFT DR
Mailing Address - Street 2:
Mailing Address - City:BLACKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24060-6360
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2265 KRAFT DR
Practice Address - Street 2:
Practice Address - City:BLACKSBURG
Practice Address - State:VA
Practice Address - Zip Code:24060-6360
Practice Address - Country:US
Practice Address - Phone:540-231-0915
Practice Address - Fax:540-231-5367
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-22
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101238491207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology