Provider Demographics
NPI:1164461356
Name:KAHN, STEVEN H (DO)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:H
Last Name:KAHN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8566
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-0566
Mailing Address - Country:US
Mailing Address - Phone:856-663-7080
Mailing Address - Fax:856-663-4945
Practice Address - Street 1:2201 CHAPEL AVE W
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-2048
Practice Address - Country:US
Practice Address - Phone:856-663-7080
Practice Address - Fax:856-663-4945
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2010-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB70844207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ039665Medicare ID - Type Unspecified
NJG89593Medicare UPIN