Provider Demographics
NPI:1467659003
Name:PAUL R. KAHN MD PA
Entity Type:Organization
Organization Name:PAUL R. KAHN MD PA
Other - Org Name:URO-SURG ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PA
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:R
Authorized Official - Last Name:KAHN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-475-0161
Mailing Address - Street 1:180 SW 84TH AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-2731
Mailing Address - Country:US
Mailing Address - Phone:954-475-0161
Mailing Address - Fax:954-474-9708
Practice Address - Street 1:180 SW 84TH AVE
Practice Address - Street 2:SUITE A
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-2731
Practice Address - Country:US
Practice Address - Phone:954-475-0161
Practice Address - Fax:954-474-9708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-28
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
72920Medicare PIN