Healthcare Provider Details

I. General information

NPI: 1215005459
Provider Name (Legal Business Name): MICHAEL LOUIS CAHN M.D., PA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 02/21/2024
Certification Date: 02/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4503 MAIN ST STE 2
SHALLOTTE NC
28470-4583
US

IV. Provider business mailing address

4503 MAIN ST STE 2
SHALLOTTE NC
28470-4583
US

V. Phone/Fax

Practice location:
  • Phone: 910-363-4949
  • Fax: 910-477-6285
Mailing address:
  • Phone: 910-363-4949
  • Fax: 910-477-6285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number200000740
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: