MEDICARE: YEHONATAN KANE MD

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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	18-264	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619388766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YEHONATAN KANE MD

Provider Business Mailing Address
First Line	:	3561 SW 10TH ST
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069-4827
Country	:	US
Telephone Number	:	954-977-7959
Fax Number	:

Provider Business Practice Location Address
First Line	:	3561 SW 10TH ST
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069-4827
Country	:	US
Telephone Number	:	786-564-9565
Fax Number	:

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

Provider Enumeration Date	:	05/12/2014
Last Update Date	:	07/10/2020

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Directions to “ YEHONATAN KANE MD” Practice Location

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