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General NPI Number Information
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NPI Number | 1417998980
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Entity Type | Individual
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Provider Name | MARC L KAHN MD
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Gender | Male
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 01/12/2017
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Provider Practice Location Address
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Address Line | G3239 BEECHER RD SUITE F
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City | FLINT
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State | MI
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Zip | 48532-3616
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Country | US
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Telephone | 810-733-6780
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Fax | 810-733-8871
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Provider Business Mailing Address
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Address Line | 1575 APPLE LN
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48302-1301
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Country | US
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Telephone | 248-737-6938
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Fax | 810-733-8871
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 4301045208
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License Number State | MI
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