Provider Demographics
NPI:1295823557
Name:CALLAHAN, CHARLES WILLIS (DO)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:WILLIS
Last Name:CALLAHAN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:13104 COLLINGWOOD TERRACE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-1234
Mailing Address - Country:US
Mailing Address - Phone:202-782-8397
Mailing Address - Fax:202-782-4914
Practice Address - Street 1:WALTER REED ARMY MEDICAL CENTER
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20907-1234
Practice Address - Country:US
Practice Address - Phone:202-782-8397
Practice Address - Fax:202-782-4914
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2023-10-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HIDOS7192080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology