Provider Demographics
NPI:1629027719
Name:KOHN, DANIEL ERNST (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ERNST
Last Name:KOHN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 COLORADO AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21210-2102
Mailing Address - Country:US
Mailing Address - Phone:410-323-4654
Mailing Address - Fax:410-323-2000
Practice Address - Street 1:2401 W BELVEDERE AVE
Practice Address - Street 2:SINAI HOSPITAL OF BALTIMORE ER-7
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-5216
Practice Address - Country:US
Practice Address - Phone:410-601-5737
Practice Address - Fax:410-601-9468
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2018-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD19439207R00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD329441200Medicaid
MDR497Medicare ID - Type Unspecified