Healthcare Provider Details

I. General information

NPI: 1730453010
Provider Name (Legal Business Name): SCOTT KAHAN, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2012
Last Update Date: 03/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1828 L ST NW SUITE 350
WASHINGTON DC
20036-5104
US

IV. Provider business mailing address

1828 L ST NW SUITE 350
WASHINGTON DC
20036-5104
US

V. Phone/Fax

Practice location:
  • Phone: 202-223-3077
  • Fax:
Mailing address:
  • Phone: 202-223-3077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number037097
License Number StateDC

VIII. Authorized Official

Name: DR. SCOTT KAHAN
Title or Position: DIRECTOR
Credential: MD
Phone: 908-208-1999