Healthcare Provider Details

I. General information

NPI: 1053471433
Provider Name (Legal Business Name): MARGIE ANN KAHN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2006
Last Update Date: 10/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4720 S I 10 SERVICE RD W SUITE 302
METAIRIE LA
70001-7404
US

IV. Provider business mailing address

1430 TULANE AVE SL-11
NEW ORLEANS LA
70112-2632
US

V. Phone/Fax

Practice location:
  • Phone: 504-988-8070
  • Fax: 504-988-8071
Mailing address:
  • Phone: 504-988-5217
  • Fax: 504-988-1846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number017941
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License NumberMD.017941
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: