Provider Demographics
NPI:1689662116
Name:KAHN, HOWARD D (MD)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:D
Last Name:KAHN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2369 STAPLES MILL RD
Mailing Address - Street 2:STE 200
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-2918
Mailing Address - Country:US
Mailing Address - Phone:804-285-4465
Mailing Address - Fax:804-285-8332
Practice Address - Street 1:8266 ATLEE RD
Practice Address - Street 2:STE 133
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-1804
Practice Address - Country:US
Practice Address - Phone:804-730-0792
Practice Address - Fax:804-746-7699
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2016-01-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101023943207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006009948Medicaid
VA006009948Medicaid
VA100000118Medicare ID - Type Unspecified