Provider Demographics
NPI:1467260653
Name:CALLIHOO, JANNA MICHELLE (MD)
Entity type:Individual
Prefix:
First Name:JANNA
Middle Name:MICHELLE
Last Name:CALLIHOO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23227 AZZURO CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-2061
Mailing Address - Country:US
Mailing Address - Phone:832-547-0187
Mailing Address - Fax:
Practice Address - Street 1:23227 AZZURO CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-2061
Practice Address - Country:US
Practice Address - Phone:832-547-0187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-20
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301506173207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine