MEDICARE: SCOTT KAHAN, LLC

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	261Q00000X	Clinic/Center	037097	DC

General Provider Information

NPI Number	:	1730453010
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCOTT KAHAN, LLC

Provider Business Mailing Address
First Line	:	1828 L ST NW
Second Line	:	SUITE 350
City	:	WASHINGTON
State	:	DC
Zip	:	20036-5104
Country	:	US
Telephone Number	:	202-223-3077
Fax Number	:

Provider Business Practice Location Address
First Line	:	1828 L ST NW
Second Line	:	SUITE 350
City	:	WASHINGTON
State	:	DC
Zip	:	20036-5104
Country	:	US
Telephone Number	:	202-223-3077
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. SCOTT KAHAN
Credential	:	MD
Telephone Number	:	908-208-1999

Provider Enumeration Date	:	03/03/2012
Last Update Date	:	03/03/2012

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