Provider Demographics
NPI:1598216921
Name:S. LOWELL KAHN MD PC
Entity Type:Organization
Organization Name:S. LOWELL KAHN MD PC
Other - Org Name:NEW ENGLAND ENDOVASCULAR CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/AUTHORIZED OFFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:SIDNEY
Authorized Official - Middle Name:LOWELL
Authorized Official - Last Name:KAHN
Authorized Official - Suffix:IV
Authorized Official - Credentials:MD
Authorized Official - Phone:413-429-6668
Mailing Address - Street 1:86 ASHLEY AVE
Mailing Address - Street 2:
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01089-1302
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:86 ASHLEY AVE
Practice Address - Street 2:
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-1302
Practice Address - Country:US
Practice Address - Phone:413-693-2852
Practice Address - Fax:413-693-2854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-20
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Single Specialty