Provider Demographics
NPI:1447218060
Name:CALLAHAN, PATRICK E (MD)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:E
Last Name:CALLAHAN
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:PO BOX 120
Mailing Address - Street 2:
Mailing Address - City:CHESTERTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21620-0120
Mailing Address - Country:US
Mailing Address - Phone:410-810-7055
Mailing Address - Fax:410-810-7054
Practice Address - Street 1:100 BROWN ST
Practice Address - Street 2:CHESTER RIVER HOSPITAL CENTER
Practice Address - City:CHESTERTOWN
Practice Address - State:MD
Practice Address - Zip Code:21620
Practice Address - Country:US
Practice Address - Phone:410-778-3300
Practice Address - Fax:410-810-7808
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0046630208VP0000X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD68639503OtherBCBS MD
MDF2320001OtherBCBS DC NCD
MD245941800Medicaid
G02917Medicare UPIN