MEDICARE: BERNARD B KAHAN 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	2084P0800X	Psychiatry Physician	029896	GA
2	2084P0804X	Child & Adolescent Psychiatry Physician	029896	GA

General Provider Information

NPI Number	:	1609976166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BERNARD B KAHAN M.D.

Provider Business Mailing Address
First Line	:	3525 PIEDMONT RD
Second Line	:	BLDG 7, STE 407
City	:	ATLANTA
State	:	GA
Zip	:	30305
Country	:	US
Telephone Number	:	404-237-3987
Fax Number	:	404-237-3707

Provider Business Practice Location Address
First Line	:	3525 PIEDMONT RD
Second Line	:	BLDG 7, STE 407
City	:	ATLANTA
State	:	GA
Zip	:	30305
Country	:	US
Telephone Number	:	404-237-3987
Fax Number	:	404-237-3707

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

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	09/11/2025

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