Provider Demographics
NPI:1306835285
Name:DRS. KANE & DAVIS ASSOCIATES, L.L.C.
Entity Type:Organization
Organization Name:DRS. KANE & DAVIS ASSOCIATES, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:GREGORY
Authorized Official - Last Name:KANE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-320-3361
Mailing Address - Street 1:6400 GOLDSBORO RD
Mailing Address - Street 2:SUITE#330
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-5826
Mailing Address - Country:US
Mailing Address - Phone:301-320-3361
Mailing Address - Fax:301-320-0170
Practice Address - Street 1:6400 GOLDSBORO RD
Practice Address - Street 2:SUITE#330
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-5826
Practice Address - Country:US
Practice Address - Phone:301-320-3361
Practice Address - Fax:301-320-0170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-13
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC441902Medicare ID - Type Unspecified