Basic Information
Provider Information
NPI: 1760643266
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KAHN
FirstName: DAVID
MiddleName: E
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4755 OGLETOWN STANTON RD
Address2: CENTER FOR HEART & VASCULAR HEALTH, SUITE 1070
City: NEWARK
State: DE
PostalCode: 197182200
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 4755 OGLETOWN STANTON RD
Address2: CHRISTIANA HOSPTIAL, SUITE 1070
City: NEWARK
State: DE
PostalCode: 197182200
CountryCode: US
TelephoneNumber: 3027331487
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/18/2008
LastUpdateDate: 04/05/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/05/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084A2900XOS015148PAN    
2084N0400XOT011625PAN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
2084N0400XOSO11260FLN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
2084N0400XC2-0010103DEN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
2084V0102XC2-0010103DEN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology
2084A2900XC2-0010103DEY    

No ID Information.


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