Provider Demographics
NPI:1215005459
Name:CAHN, MICHAEL LOUIS (MD, PA)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:LOUIS
Last Name:CAHN
Suffix:
Gender:M
Credentials:MD, PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4503 MAIN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:SHALLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28470-4583
Mailing Address - Country:US
Mailing Address - Phone:910-363-4949
Mailing Address - Fax:910-477-6285
Practice Address - Street 1:4503 MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:SHALLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28470-4583
Practice Address - Country:US
Practice Address - Phone:910-363-4949
Practice Address - Fax:910-477-6285
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200000740208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89126VTMedicaid
NCH17644Medicare UPIN
NCNCJ8208Medicare PIN
NC2280691AMedicare PIN