Provider Demographics
NPI:1639261860
Name:KAHAN, STEVEN ELLIOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:ELLIOTT
Last Name:KAHAN
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:PO BOX 655
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-0655
Mailing Address - Country:US
Mailing Address - Phone:603-431-3388
Mailing Address - Fax:603-431-5946
Practice Address - Street 1:200 GRIFFIN RD
Practice Address - Street 2:UNIT 14
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-7145
Practice Address - Country:US
Practice Address - Phone:603-431-3388
Practice Address - Fax:603-431-6859
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH11281174400000X, 208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30201494Medicaid
NHRE618602Medicare PIN
NHRE6186Medicare ID - Type Unspecified
NH30201494Medicaid