MEDICARE: DR. ZEV M KAHN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207YX0007X	Plastic Surgery within the Head & Neck (Otolaryngology) Physician	A25422	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00170661	OTHER	CA	MEDICARE RAILROAD

General Provider Information

NPI Number	:	1356310502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZEV M KAHN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 255789
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95865-5789
Country	:	US
Telephone Number	:	916-854-6975
Fax Number	:

Provider Business Practice Location Address
First Line	:	19845 LAKE CHABOT RD
Second Line	:	SUITE 302
City	:	CASTRO VALLEY
State	:	CA
Zip	:	94546-4055
Country	:	US
Telephone Number	:	510-886-3400
Fax Number	:	510-581-6517

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	11/17/2011

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