Healthcare Provider Details

I. General information

NPI: 1922021328
Provider Name (Legal Business Name): HILLEL KAHANE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2889 W ASHTON BLVD STE 300
LEHI UT
84043-4968
US

IV. Provider business mailing address

5100 TALLEY RD STE 300
LITTLE ROCK AR
72204-8040
US

V. Phone/Fax

Practice location:
  • Phone: 501-500-6640
  • Fax:
Mailing address:
  • Phone: 501-500-6767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License Number151045
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: