Provider Demographics
NPI:1700038346
Name:CALLAHAN, ADAM P (PA)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:P
Last Name:CALLAHAN
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Gender:M
Credentials:PA
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Mailing Address - Street 1:5255 E STOP 11 RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46237-6340
Mailing Address - Country:US
Mailing Address - Phone:317-884-5255
Mailing Address - Fax:317-884-5381
Practice Address - Street 1:5255 E STOP 11 RD
Practice Address - Street 2:SUITE 300
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46237-6340
Practice Address - Country:US
Practice Address - Phone:317-884-5255
Practice Address - Fax:317-884-5381
Is Sole Proprietor?:No
Enumeration Date:2008-10-15
Last Update Date:2008-10-15
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Provider Licenses
StateLicense IDTaxonomies
IN99034373A363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant