Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 040832 | CT |
Y | 207RP1001X | Pulmonary Disease | 040832 | CT |
N | 207RS0012X | Sleep Medicine | 040832 | CT |
NPI | 1063431682 |
---|---|
Provider Name | Douglas Kahn |
First Address | Danbury, CT 06810-6099 |
Second Address | Danbury, CT 06810-6099 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 31/07/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G92535 | (02) | CT |