Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | M6688 | TX |
NPI | 1013107440 |
---|---|
Provider Name | Andrew J Kahn |
First Address | Dallas, TX 75284-0853 |
Second Address | Dallas, TX 75240 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2007 |
Last Update Date | 24/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
186831701 | (05) | TX |
186831702 | CSHCN (01) | TX |
186831704 | (05) | TX |
186831705 | (05) | TX |
186831706 | (05) | TX |
186831707 | (05) | TX |
8AA124 | BCBS (01) | TX |
8BR515 | BCBS (01) | TX |
P00746632 | RAILROAD (01) | TX |