Healthcare Provider Details

I. General information

NPI: 1225528334
Provider Name (Legal Business Name): DAVID KASHAN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2018
Last Update Date: 10/10/2024
Certification Date: 10/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

770 W HIGH ST STE 300
LIMA OH
45801-5914
US

IV. Provider business mailing address

770 W HIGH ST STE 300
LIMA OH
45801-5914
US

V. Phone/Fax

Practice location:
  • Phone: 419-996-5033
  • Fax: 419-996-5266
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number34.014196
License Number StateOH

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier34.014196
Identifier TypeOTHER
Identifier StateOH
Identifier IssuerSTATE MEDICAL BOARD OF OHIO
# 2
Identifier1020524
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerBOARD OF REGISTRATION IN MEDICINE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: