1598586653 NPI number — DR. EOIN MAURICE KELLEHER MB BCH

Table of content: DR. EOIN MAURICE KELLEHER MB BCH (NPI 1598586653)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598586653 NPI number — DR. EOIN MAURICE KELLEHER MB BCH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KELLEHER
Provider First Name:
EOIN
Provider Middle Name:
MAURICE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MB BCH
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1598586653
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/22/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
34 FURNACE HOUSE
Provider Second Line Business Mailing Address:
WALTON WELL ROAD
Provider Business Mailing Address City Name:
OXFORD
Provider Business Mailing Address State Name:
OXFORDSHIRE
Provider Business Mailing Address Postal Code:
OX2 6GF
Provider Business Mailing Address Country Code:
GB
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
JOHN RADCLIFFE HOSPITAL
Provider Second Line Business Practice Location Address:
HEADINGTON
Provider Business Practice Location Address City Name:
OXFORD
Provider Business Practice Location Address State Name:
OXFORDSHIRE
Provider Business Practice Location Address Postal Code:
OX3 9DU
Provider Business Practice Location Address Country Code:
GB
Provider Business Practice Location Address Telephone Number:
186-522-1590
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/22/2024

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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