MEDICARE: DR. POCHNA CHOTIKUL KAHLE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	D0014782	MD

General Provider Information

NPI Number	:	1417949298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. POCHNA CHOTIKUL KAHLE M.D.

Provider Business Mailing Address
First Line	:	7505 OSLER DR
Second Line	:	SUITE #305
City	:	TOWSON
State	:	MD
Zip	:	21204-7736
Country	:	US
Telephone Number	:	410-296-9575
Fax Number	:	410-823-4726

Provider Business Practice Location Address
First Line	:	7505 OSLER DR
Second Line	:	SUITE #305
City	:	TOWSON
State	:	MD
Zip	:	21204-7736
Country	:	US
Telephone Number	:	410-296-9575
Fax Number	:	410-823-4726

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	07/09/2007

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