MEDICARE: DR. DAVID H KAHAN D.O.

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	207Q00000X	Family Medicine Physician	3160	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598741167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID H KAHAN D.O.

Provider Business Mailing Address
First Line	:	PO BOX 31235
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85751-1235
Country	:	US
Telephone Number	:	520-324-4100
Fax Number	:	203-241-4065

Provider Business Practice Location Address
First Line	:	5265 E KNIGHT DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-2147
Country	:	US
Telephone Number	:	520-327-5911
Fax Number	:	520-881-0060

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

Provider Enumeration Date	:	12/15/2005
Last Update Date	:	11/01/2022

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