Healthcare Provider Details

I. General information

NPI: 1902254121
Provider Name (Legal Business Name): KAHAK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2016
Last Update Date: 06/13/2024
Certification Date: 06/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11002 VEIRS MILL RD 300
SILVER SPRING MD
20902-2574
US

IV. Provider business mailing address

11002 VEIRS MILL RD 300
SILVER SPRING MD
20902-2574
US

V. Phone/Fax

Practice location:
  • Phone: 301-641-1514
  • Fax:
Mailing address:
  • Phone: 301-641-1514
  • 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: PRESIDENT
Credential:
Phone: 301-641-1514