Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | A87014 | CA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD171685 | OR |
N | 207VX0000X | Obstetrician | A87014 | CA |
N | 207VX0000X | Obstetrician | MD171685 | OR |
NPI | 1144265463 |
---|---|
Provider Name | Daniel Albert Kahn |
First Address | Medford, OR 97504-8383 |
Second Address | Medford, OR 97504-8179 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2006 |
Last Update Date | 28/05/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A70140 | MEDICAL (01) | CA |
I54121 | (02) | CA |