Provider Demographics
NPI:1457321739
Name:KAHN, HARRY AARON (MD MPH FACS)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:AARON
Last Name:KAHN
Suffix:
Gender:M
Credentials:MD MPH FACS
Other - Prefix:
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Mailing Address - Street 1:805 MADISON ST
Mailing Address - Street 2:SUITE 901
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-1172
Mailing Address - Country:US
Mailing Address - Phone:206-264-8100
Mailing Address - Fax:206-264-8689
Practice Address - Street 1:12333 NE 130TH LN
Practice Address - Street 2:SUITE 420
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-7467
Practice Address - Country:US
Practice Address - Phone:425-250-4700
Practice Address - Fax:425-899-5523
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2011-10-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD33795208C00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA120179OtherLABOR AND INDUSTRIES
WAKA1524OtherREGENCE RIDER NUMBER
WA1103423Medicaid
WAKA1524OtherREGENCE RIDER NUMBER
WA1103423Medicaid