Provider Demographics
NPI:1639194608
Name:KAHAN, STANLEY E (MD)
Entity Type:Individual
Prefix:
First Name:STANLEY
Middle Name:E
Last Name:KAHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:462 DANIELS DR
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-4218
Mailing Address - Country:US
Mailing Address - Phone:310-442-8238
Mailing Address - Fax:310-442-4890
Practice Address - Street 1:11633 SAN VICENTE BLVD
Practice Address - Street 2:SUITE 314
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90049-6511
Practice Address - Country:US
Practice Address - Phone:310-442-8238
Practice Address - Fax:310-442-4890
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2017-03-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG42792207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1639194608OtherNPI