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1699921890

NPI Code Detail

MEDICARE: DR. SCOTT IRA KAHAN MD

MEDICARE: DR. SCOTT IRA KAHAN 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	2083P0901X	Public Health & General Preventive Medicine Physician	MD037097	DC
2	2083P0901X	Public Health & General Preventive Medicine Physician	D0062641	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MD037097	OTHER	DC	DC LICENSE

General Provider Information

NPI Number	:	1699921890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT IRA KAHAN MD

Provider Business Mailing Address
First Line	:	9913 MONTAUK AVE
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20817-1625
Country	:	US
Telephone Number	:	202-223-3077
Fax Number	:	202-872-8142

Provider Business Practice Location Address
First Line	:	5425 WISCONSIN AVE STE 600
Second Line	:
City	:	CHEVY CHASE
State	:	MD
Zip	:	20815-3588
Country	:	US
Telephone Number	:	202-223-3077
Fax Number	:	202-872-8142

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

Provider Enumeration Date	:	08/07/2008
Last Update Date	:	03/29/2024

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Directions to “ DR. SCOTT IRA KAHAN MD” Practice Location

Language	Start Address	Practice Location

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