Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | K3267 | TX |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | K3267 | TX |
NPI | 1174596779 |
---|---|
Provider Name | Anthony Kahn |
First Address | Austin, TX 78723 |
Second Address | Austin, TX 78723 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2006 |
Last Update Date | 14/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0899395-04 | (05) | TX |
089939505 | MEDICAID CSHCN (01) | TX |
0899395-08 | (05) | TX |
0899395-09 | MEDICAID CSHCN ROT (01) | TX |
87W192 | BCBS INDIVIDUAL # (01) | TX |