Provider Demographics
NPI:1932462371
Name:CALLAHAN, JAMES P (DPM)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:P
Last Name:CALLAHAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5253 PROVIDENCE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-4201
Mailing Address - Country:US
Mailing Address - Phone:757-252-4640
Mailing Address - Fax:757-510-9343
Practice Address - Street 1:5253 PROVIDENCE RD STE 100
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-4201
Practice Address - Country:US
Practice Address - Phone:757-252-4640
Practice Address - Fax:757-510-9343
Is Sole Proprietor?:No
Enumeration Date:2012-06-20
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0116024924213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery