Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | A25422 | CA |
NPI | 1356310502 |
---|---|
Provider Name | Dr. Zev M Kahn |
First Address | Sacramento, CA 95865-5789 |
Second Address | Castro Valley, CA 94546-4055 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2006 |
Last Update Date | 17/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P00170661 | MEDICARE RAILROAD (01) | CA |