Provider Demographics
NPI:1457456519
Name:KAHN, ROBERT IRA (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:IRA
Last Name:KAHN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2100 WEBSTER ST STE 222
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-2376
Mailing Address - Country:US
Mailing Address - Phone:415-202-0250
Mailing Address - Fax:415-202-0255
Practice Address - Street 1:2100 WEBSTER ST
Practice Address - Street 2:SUITE 222
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-2373
Practice Address - Country:US
Practice Address - Phone:415-202-0250
Practice Address - Fax:415-202-0255
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2020-02-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG33338208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0055820Medicaid
CAGR0055820Medicaid
CAA45509Medicare UPIN