Healthcare Provider Details

I. General information

NPI: 1588407076
Provider Name (Legal Business Name): KAHAK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2024
Last Update Date: 06/13/2024
Certification Date: 06/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3831 PENNSYLVANIA AVE SE
WASHINGTON DC
20020-1309
US

IV. Provider business mailing address

3831 PENNSYLVANIA AVE SE
WASHINGTON DC
20020-1309
US

V. Phone/Fax

Practice location:
  • Phone: 202-575-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number
License Number State

VIII. Authorized Official

Name: MICHEL KAHAK
Title or Position: CEO
Credential:
Phone: 202-722-1700