MEDICARE: DR. STEVEN ELLIOTT 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	174400000X	Specialist	11281	NH
2	208800000X	Urology Physician	11281	NH

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	:	1639261860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN ELLIOTT KAHAN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 655
Second Line	:
City	:	EXETER
State	:	NH
Zip	:	03833-0655
Country	:	US
Telephone Number	:	603-431-3388
Fax Number	:	603-431-5946

Provider Business Practice Location Address
First Line	:	200 GRIFFIN RD
Second Line	:	UNIT 14
City	:	PORTSMOUTH
State	:	NH
Zip	:	03801-7145
Country	:	US
Telephone Number	:	603-431-3388
Fax Number	:	603-431-6859

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

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	06/03/2010

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