Jerry Lester Callaway in San Jose - Internal Medicine
Jerry Lester Callaway - NPI 1780788356
Jerry Lester Callaway is a Internal Medicine in San Jose, California. Jerry Lester Callaway practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jerry Lester Callaway is 1780788356. The last update date is 2007-07-08.
Jerry Lester Callaway's current location address is 2512 Samaritan Court, San Jose, California. You can contact this provider via phone number 4083583715 and fax number 4083569189. The mailing address for Jerry Lester Callaway is 2512 Samaritan Court, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Lester Callaway |
|---|---|
| Address | 2512 Samaritan Court, San Jose, California |
| Phone Number | 4083583715 |
| Fax Number | 4083569189 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1780788356 |
|---|---|
| Provider Enumeration Date | 2006-09-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2512 Samaritan Court |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 95124 |
| Phone Number | 4083583715 |
| Fax Number | 4083569189 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | A25401 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A254010 | CA | -- |
Post Comment/ Review Below
What is the Jerry Lester Callaway's 1780788356?
The Jerry Lester Callaway's NPI (National Provider Identifier) Number is 1780788356. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jerry Lester Callaway is physically located?
The Jerry Lester Callaway is situated at the following address: 2512 Samaritan Court, San Jose, CA 95124.
What is Jerry Lester Callaway's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jerry Lester Callaway is Internal Medicine, and the taxonomy classification code that categorizes this area of expertise is 207R00000X.
On what date did the Jerry Lester Callaway receive the assignment of its 1780788356 from the Centers for Medicare & Medicaid Services?
The Jerry Lester Callaway was issued its 1780788356 by the Centers for Medicare & Medicaid Services on 2006-09-12.
When was the Jerry Lester Callaway's information last updated?
The Jerry Lester Callaway's information was last updated on 2007-07-08.
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