Provider Demographics
NPI:1609976166
Name:KAHAN, BERNARD B (MD)
Entity Type:Individual
Prefix:
First Name:BERNARD
Middle Name:B
Last Name:KAHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3525 PIEDMONT RD
Mailing Address - Street 2:BLDG 7, STE 407
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305
Mailing Address - Country:US
Mailing Address - Phone:404-237-3987
Mailing Address - Fax:404-237-3707
Practice Address - Street 1:3525 PIEDMONT RD
Practice Address - Street 2:BLDG 7, STE 407
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305
Practice Address - Country:US
Practice Address - Phone:404-237-3987
Practice Address - Fax:404-237-3707
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA0298962084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Not Answered2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry