Provider Demographics
NPI:1093908469
Name:KAHN, ENAMUL HOQ (MD)
Entity Type:Individual
Prefix:DR
First Name:ENAMUL
Middle Name:HOQ
Last Name:KAHN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:237 GARRISONVILLE RD STE 101
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-1553
Mailing Address - Country:US
Mailing Address - Phone:540-659-0550
Mailing Address - Fax:540-720-2386
Practice Address - Street 1:237 GARRISONVILLE RD STE 101
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-1553
Practice Address - Country:US
Practice Address - Phone:540-659-0550
Practice Address - Fax:540-720-2386
Is Sole Proprietor?:No
Enumeration Date:2007-08-20
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101049572207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
5135099OtherAETNA
VA104215OtherBC/BS
VAF88904Medicare UPIN