| Kevin J Callahan, MD | |
| 
					500 Lynnfield St, Lynn, MA 01904-1424  | |
| (781) 581-9200 | |
| Not Available | 
| Full Name | Kevin J Callahan | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 500 Lynnfield St, Lynn, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1962406249 | NPI | - | NPPES | 
| 0144151 | Medicaid | MA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 209577 (Massachusetts) | Primary | 
| Entity Name | Commonwealth Radiology Associates Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1295711661 PECOS PAC ID: 2668468406 Enrollment ID: O20081210000048  | 
| Entity Name | Mass General Brigham Community Physicians Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1891112637 PECOS PAC ID: 1759273436 Enrollment ID: O20150723007726  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kevin J Callahan, MD 91 Stiles Rd, Salem, NH 03079-2846 Ph: (800) 927-0002  | Kevin J Callahan, MD 500 Lynnfield St, Lynn, MA 01904-1424 Ph: (781) 581-9200  | 
M. Christian Semine, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 500 Lynnfield St, Lynn, MA 01904 Phone: 781-581-9200  | |
Peter Koch-weser, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 295 Varnum Street, Lynn, MA 01904 Phone: 781-581-9200  |