Provider Demographics
NPI:1326012683
Name:CALHOUN, FRANK B (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:B
Last Name:CALHOUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2158 NORTHGATE PARK LN
Mailing Address - Street 2:STE 104
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37415-6957
Mailing Address - Country:US
Mailing Address - Phone:423-531-3398
Mailing Address - Fax:423-531-3495
Practice Address - Street 1:2158 NORTHGATE PARK LN
Practice Address - Street 2:STE 104
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37415-6957
Practice Address - Country:US
Practice Address - Phone:423-531-3398
Practice Address - Fax:423-531-3495
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2017-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD010381208D00000X
TNMD10381207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ002252Medicaid
TN3188414Medicare ID - Type Unspecified
TNQ002252Medicaid