Provider Demographics
NPI:1013074574
Name:MICHAEL L CAHN MD PA
Entity Type:Organization
Organization Name:MICHAEL L CAHN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:CAHN
Authorized Official - Suffix:
Authorized Official - Credentials:MD,PA
Authorized Official - Phone:910-642-6686
Mailing Address - Street 1:385 TIMBER COVE DR
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-8918
Mailing Address - Country:US
Mailing Address - Phone:910-642-6686
Mailing Address - Fax:
Practice Address - Street 1:4503 MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:SHALLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28470-4583
Practice Address - Country:US
Practice Address - Phone:910-363-4949
Practice Address - Fax:910-477-6285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20000740208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89126VTMedicaid
NC89126VTMedicaid
H17644Medicare UPIN