Provider Demographics
NPI:1508080342
Name:KAHN, CYNTHIA ANNE (MD)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:ANNE
Last Name:KAHN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 BUCKINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-2312
Mailing Address - Country:US
Mailing Address - Phone:603-425-2057
Mailing Address - Fax:603-271-4902
Practice Address - Street 1:29 HAZEN DR
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-6503
Practice Address - Country:US
Practice Address - Phone:603-271-4533
Practice Address - Fax:603-217-4902
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH100832080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30205808Medicaid
NH30205808Medicaid