Provider Demographics
NPI:1922398312
Name:CALLAN, ALEXANDRA KATHLEEN (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:KATHLEEN
Last Name:CALLAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1215 21ST AVENUE SOUTH
Mailing Address - Street 2:MEDICAL CENTER EAST, SUITE 4200
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232
Mailing Address - Country:US
Mailing Address - Phone:615-936-0100
Mailing Address - Fax:
Practice Address - Street 1:1801 INWOOD ROAD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-0014
Practice Address - Country:US
Practice Address - Phone:214-645-1482
Practice Address - Fax:214-645-3301
Is Sole Proprietor?:No
Enumeration Date:2011-04-19
Last Update Date:2019-12-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXR3285207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery