Provider Demographics
NPI:1366417156
Name:CALLANAN, EAN Y (MD)
Entity type:Individual
Prefix:
First Name:EAN
Middle Name:Y
Last Name:CALLANAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 PARK ST
Mailing Address - Street 2:CAPE COD HOSPITAL
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601
Mailing Address - Country:US
Mailing Address - Phone:508-862-5976
Mailing Address - Fax:508-862-7931
Practice Address - Street 1:27 PARK ST
Practice Address - Street 2:CAPE COD HOSPITAL HOSPITALIST DEPARTMENT
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601
Practice Address - Country:US
Practice Address - Phone:508-862-5976
Practice Address - Fax:508-862-7931
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA225488208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAAA40061OtherHPHC
MAJ28896OtherBCBS
MAAA40061OtherHPHC
A38631Medicare ID - Type Unspecified